Anonymous
08-11-2004, 11:26 PM
21:04:56 [Step_1] ok, so tonight is micro. we can start off with some bacteria
21:05:03 [crusher] sure start firing Q,s plz
21:05:16 [AoneDr] i will be silent this time if its ok
21:05:30 [Hmmmmmm] ok i prepared this one (not in any chorno order)
21:05:55 [Step_1] ok, if you see a cell described as having an outer membrane, is this Gr + or -?
21:06:15 [Hmmmmmm] ok a patient comes to u with an very large open wound on his leg, the organism is gram +ve and catalase -ve whats the organism
21:06:24 [hutals] no problem Aone, jump in whenever you feel comfortable
21:06:26 [Hmmmmmm] gr -ve step 1
21:06:34 [crusher] gram -ve,,with the LPS
21:07:01 [hutals] clostidium perfingens
21:07:08 [crusher] clostridium perfirenges
21:07:12 [hutals] gram neg for step 1
21:07:14 ash enters this room
21:07:20 [Hmmmmmm] yeah hutals good one
21:07:22 [Step_1] hi ash
21:07:26 [ash] hi everyone!!
21:07:34 [Hmmmmmm] hi ash
21:07:35 [Step_1] clostridium perfrengens
21:07:50 [Hmmmmmm] yes step 1
21:08:07 [ash] hey step_1 i have your questions ,can i ask some of them?>
21:08:11 [Step_1] yes, gram - are the only ones with outer membrane, especially neisseria
21:08:14 [Hmmmmmm] more pili means more?
21:08:16 [AoneDr] hi ash
21:08:21 [Step_1] sure, go for it
21:08:30 [ash] hi
21:08:55 erum enters this room
21:09:04 [ash] what are the effects of exotoxin secreted by e.coli?
21:09:06 [hutals] pili are gram neg. virulence
21:09:17 [Step_1] hi erum
21:09:28 Lorena enters this room
21:09:30 [ash] hi erum
21:09:32 [Hmmmmmm] diarrhea? which ecoli?
21:09:40 [Hmmmmmm] hi erum and lorena
21:09:41 [ash] hi lorena
21:09:42 sicca enters this room
21:10:02 [Hmmmmmm] wow a lot of ppl 2day hi sicca
21:10:06 [Lorena] hi guys, step 1, hutals , crusher, and all
21:10:09 [ash] the mechanism of action of exotoxin of e.coli
21:10:19 [Lorena] i misssed you a lot
21:10:19 [Step_1] hi lorena
21:10:31 [erum] hi everyone
21:10:34 [ash] the kind of e.coli shouldnt matter
21:10:40 [crusher] hello lorena..i see u after long time
21:10:44 [Step_1] we all missed you to lorena. good to hear from you again
21:10:44 [Hmmmmmm] more pili means more virulence (my previous question)
21:11:00 [Lorena]
21:11:00 [Hmmmmmm] ash i think its adenyl cylase and increase cAMP
21:12:01 [erum] today is my first day
21:12:20 [Step_1] middle aged male presents with acute onset monoarticular join pain and bilat bells palsy. what disease and how did he get it?
21:12:27 [Lorena] some family stuff and i was sick but feeling better and ready to participate again
21:12:31 [Hmmmmmm] ok bacteria has a generation time of 10 min and lag = 10. how many will u see in 80 minutes if u have 10 in the beginning
21:12:33 [ash]>[Step_1] lymes
21:12:45 [hutals] welcome to the chat erum. jump in whenever you feel comfortable
21:13:01 [erum] thanks
21:13:18 [Step_1] hope everything is ok lorena
21:13:30 [Hmmmmmm] lyme dz and ixodes tick
21:13:32 [hutals] agree lyme dz from ticks
21:13:32 [Lorena] the disease is lyme and got it from a tick bite
21:13:52 [Lorena] thanks step, everything is fine again
21:14:21 [crusher] i think its lyme disease by borrelia bordegferri,bilateral fascial palsy if unilateral mcc is idiopathic
21:14:35 [Step_1] great job everyone, its lyme dz and ixodes tick
21:15:23 [crusher] hope u feeling good lorena and welcome back
21:15:29 [Step_1] excellent crusher. the buzz word was BI lateral vs UNI lateral....good point
21:15:31 [ash] which org. has heat sensitive catalase?
21:15:54 [Hmmmmmm] ohhh i thought it was 10 X 2^7
21:16:19 [Step_1] cat + would be Staph aureus and yersinia
21:16:28 [Hmmmmmm] staph aureus
21:16:30 [Lorena] staph aureus
21:17:00 [crusher] sataph auerus is both catalase and coaglase +ve
21:17:09 [Hmmmmmm] yersinia is coagulase +ve i think?
21:17:34 [ash] the catch is heat sensitive and the answer is m.tb
21:18:33 [Hmmmmmm] nice one ash
21:18:45 [crusher] all staph are catalase +ve not just staph aureus,,staph auerus piciluarity is its COAGULASE POSITIVE too
21:18:51 [ash] gram negative cocci without immunogenic capsule?
21:19:06 [Step_1] ah, i didnt even notice the heat sensitive part
21:19:22 [Lorena] N. gonorrhoeae
21:19:23 [ash]>[Step_1] thats ok
21:19:33 [Hmmmmmm] no iad
21:19:35 [Hmmmmmm] idea
21:19:42 [crusher] agree with lori
21:19:51 drkittu enters this room
21:20:08 [crusher] N.menigititidis has capsule
21:20:08 [Step_1] yeah, i messed up, i meant to say that staph aureus and yersernia are both COAG +....not both cat +...sorry, end of a very long day
21:20:34 [Lorena] no capsule no vaccine vs N. meningitidis (it has capsule so it has vaccine)
21:20:56 [ash] i am asking an org. with a capsule that is nonimmunogenic
21:21:15 [ash] and gram negative cocci
21:22:42 [hutals] not sure ash
21:22:49 [ash] the answer is moraxella
21:22:50 [Hmmmmmm] kliebsella
21:22:54 [Hmmmmmm] oh
21:22:54 [crusher] plz ans ash
21:23:08 [Lorena] i misunderstood, i thought you asked a bug without capsule
21:23:29 [Hmmmmmm] whats imp about morax? give me one clinical sig/
21:24:01 [Lorena] moraxella causes otitis media
21:24:08 [Lorena] no prob ash
21:24:09 [crusher] i think middle ear infection
21:24:23 [Hmmmmmm] in adults
21:24:33 [Hmmmmmm] yes crush and ash
21:25:00 [ash] this bacteria needs protoporphyrin for growth
21:25:08 [Step_1] cant remember the question right now, but that was a real one with moraxella as the ans. they described it in micro terms in a pt with otitis media i think
21:25:09 [Lorena] in chronic obstructive pulmonary diseases od the lung , it can cause bronchitis
21:25:23 [Hmmmmmm] DTaP what does the a stand for? (stupid q but why do we need this kind of vaccine?)
21:25:53 [hutals] diptheria, tetenus, pertussis
21:26:02 [Hmmmmmm] step 1 *how do u diagnose otitis media *pain in teh ear and swelling and redness?
21:26:10 [Lorena] agree with hutals
21:26:27 [Hmmmmmm] hutal what does the "a" stand for
21:26:33 [Hmmmmmm] a = acellular
21:26:37 [crusher] p.seudoonas is common cause of infection in bronchectasis especially in downs patient....>lorena
21:26:45 [Hmmmmmm] need for patients with CGD etc
21:26:53 [Step_1] i wish i could remember the question, but i'll post it if i remember or wrote it down somewhere
21:27:00 [Hmmmmmm] SCID also
21:27:15 [Lorena] i see crush
21:27:16 [hutals] What are the culture requirement for H. flu?
21:27:46 [Hmmmmmm] V and X
21:27:50 [Hmmmmmm] hematin and NAD
21:27:52 [ash] nad and protoporphyrin
21:28:00 [Lorena] hemin and NAD
21:28:02 [Hmmmmmm] or need staph aureus growing in blood agar
21:28:19 [ash] pikes madium is for ?
21:28:23 [crusher] heme and hematin and NAD
21:28:30 [Step_1] factor V and X
21:28:52 [Hmmmmmm] yeah ash
21:29:09 [hutals] culture on chocolate agar with factor V (NAD) and X (hematin).
21:29:21 [Step_1] mneumonic is [Think: 'Child has 'flu'; mom goes to five (V) and dime (X) store to buy chocolate.']
21:29:21 [Hmmmmmm] oh dam chocolate
21:29:52 Dr_Rolon enters this room
21:29:58 [ash] which bacteria needs cysteine and iron?
21:29:59 [Step_1] hi dr rolon
21:30:13 [ash]>[Step_1]
21:30:23 [crusher] legionella
21:30:28 [Dr_Rolon] hello, glad to finally join you guys,
21:30:47 [crusher] media is charcol yeast agar
21:30:55 [Lorena] i remember with one of step 1 neumonics about the 4 sisters "ellas"
21:31:02 [drkittu] Legionella
21:31:23 [Hmmmmmm] ok a surgeon was excising a lipoma from the back of the neck of an obese 50 yr old female and later *1 or 2 days she started having signs of endocarditis is there an organism involved if so what?
21:31:29 [Dr_Rolon] legionella
21:31:41 [Lorena] "the 4 sister 'ellas' worship at the cysteine chapel, except for bortadella b/c see got bored"..... by step 1
21:32:09 [Hmmmmmm] i have to mention (wasnt too sterile)
21:32:16 [Dr_Rolon] staph
21:32:26 [drkittu] Staph epidermiditis
21:32:26 [Lorena] s. epidermidis hmm???
21:32:38 [Step_1] good you remembered lorena....good job
21:32:43 [Dr_Rolon] epidermidis i think thats right
21:33:01 [Lorena] i have learnt a lot from you step 1
21:33:02 [Hmmmmmm] lemme check
21:33:12 [Step_1] dr rolon, you might want to pick a brighter color from the rainbow on right
21:33:30 [Dr_Rolon] i never thought this could be so much fun
21:33:38 [Hmmmmmm] its aureus
21:33:44 [Dr_Rolon] now?
21:33:49 [Hmmmmmm] (see caplan pg 21
21:34:23 [ash] kellys medium is for?
21:34:30 [Lorena] yes, now that i remember , s, epidermidis if the valves are previously damaged, s. aureus if the valves are normal (mostly IV drug users)
21:35:04 [crusher] yes i agree it should be staph aureus
21:35:21 [Hmmmmmm] im sorry ash but what was ur ans for pikes med?
21:35:27 [Step_1] dr. rolon, you still have black which is hard to read
21:35:47 [Dr_Rolon] im trying, my net is slow
21:35:55 [ash] streptococci
21:36:06 [Hmmmmmm] thanks
21:36:20 [hutals] rash on palms and soles (migrating to wrists, ankles, then trunck) 2) headache 3) fever....what dz?
21:36:21 [ash]
21:36:35 [Step_1] RMSF
21:36:38 [Hmmmmmm] rocky mountain spooted fever
21:36:40 [Hmmmmmm]
21:36:40 [Dr_Rolon] ,
21:37:03 [crusher] rocky mountain feevr..rash centrifugul
21:37:07 [ash] what about *****?
21:37:08 [Step_1] which by the way is least likely to be found in the Rocky Mountains
21:37:12 [Hmmmmmm] painfull ulcer in the penis?
21:37:17 [Hmmmmmm] dx?
21:37:25 [hutals] yep, rocky mountain spotted fever
21:37:44 [Step_1] Hemohilus ducreyi
21:37:58 [Hmmmmmm] yes step1 and lorena
21:38:06 [ash] if multiple then herpes
21:38:26 [Hmmmmmm] i thougth herpes is not ulcer but pustules?
21:38:28 [Step_1] mneumonic is "You do cry" sounds like "ducreyi"
21:38:31 [crusher] duceri make you cry..(painful)
21:38:50 [Step_1] herpes is not painful
21:38:52 [crusher] if painless then syphilis
21:38:55 [Lorena] and when it is not painful? dx?
21:39:00 [Hmmmmmm] do cry (compliements of step1 and acestep1 )
21:39:12 [ash] syphilis/TO Lorena
21:39:21 [Lorena] herpes is painful too
21:39:23 erum enters this room
21:39:25 [Dr_Rolon] chancre, sypohilis
21:40:02 [ash] hey what about kellys medium?
21:40:13 [Hmmmmmm] dunno ans plez
21:40:18 [Lorena] that color is much better Dr Rolon
21:40:38 [Dr_Rolon] no prob
21:40:47 [Dr_Rolon] rookie mistake
21:41:15 [hutals] What bacteria exhibits a 'tumbling' motility, is found in unpasteurized milk, and causes meningitis in newborns?
21:41:16 [Hmmmmmm] ok a patient with white plaques on either side of mouth(near the tonsils) and milk coming out of nose dx?
21:41:22 [Hmmmmmm] listeria
21:41:30 [Hmmmmmm] hutas listeria?
21:41:38 [Lorena] it is listeria monocytogenes
21:41:49 [Step_1] boriella for ***** i think
21:41:59 [Step_1] listeria for hutals question
21:42:11 [ash]>[Step_1] right
21:42:18 [hutals] yep, Listeria monocytogenes
21:42:21 [Dr_Rolon] listeria monocytes for meningitis?
21:42:35 [Hmmmmmm] yes drrolon
21:42:45 [Lorena] in newborns yes Dr Rolon
21:42:54 [Hmmmmmm] yeah ash goood
21:43:06 [Dr_Rolon] ok
21:43:27 [hutals] thanks for clearing that up lorena. wasn't sure why milk was coming out of someones nose
21:43:55 [Hmmmmmm] its a question i heard im not sure either
21:44:07 [ash] which bacteria is implicated in guillian barre syndrome?
21:44:35 [Lorena] reallY? i thought it was after a viral infection
21:44:42 [Hmmmmmm] me 2
21:44:49 [Step_1] Campylobacter jejuni
21:45:08 [crusher] i think step1 is right
21:45:15 [drkittu] capylobacter
21:45:24 [Hmmmmmm] good question
21:45:25 [ash] right,but only 1 bacteria is implicated.which?given in k a p l a n
21:45:51 [hutals] i agree C jejuni
21:46:25 [Lorena] GUll's wings= GUillain barre
21:46:57 [ash] microaerophilic organism that is a pathogen in the duodenum?
21:47:00 [Hmmmmmm] ok patient gets epigastric pain after eating food , very thin and has bloody stool? organism?
21:47:15 [crusher] h.pylori
21:47:29 [Hmmmmmm] very good
21:47:45 [Dr_Rolon] h. pylori for epigastric pain?
21:47:48 [erum] h.pylori
21:48:04 [drkittu] Helicobactor
21:48:21 [Lorena] agree helycobacter
21:48:23 [Hmmmmmm] dr rolon its becuae its gastric ulcer
21:48:40 [ash] which e.coli is a sorbitol nonfermentor?
21:48:46 [Dr_Rolon] ok
21:50:05 [drkittu] EHEC
21:50:19 [Hmmmmmm] ans please ash?
21:50:29 [crusher] which organism has small dense bodies and reticulate bodies and whats the drug for treatment
21:50:44 [drkittu] eNTEROHEMORRHAGIS e COLI
21:51:13 [ash] treatment is tetra?
21:51:15 [drkittu] sorry my caps lock was on i didn't notice
21:51:28 [Hmmmmmm] crusher> c. diaptheria?
21:51:45 [Lorena] corynebacterium
21:52:02 [Lorena] babes ernst bodies in loeffelr medium
21:52:32 [Hmmmmmm] lorena (does this also have volutin granules?) are they the same things
21:52:36 [crusher] yesw its chalmydia and treatment is erythromycin or tetracyclin..eleentry bodies enter the cells and reticulate bodies replicate in cells
21:53:22 [hutals] What bug is associated with burn wound infections?
21:53:29 [ash] what does the heat stable toxin of e.coli stimulate?
21:53:39 [Step_1] pseudomonas aurgenosa
21:53:40 [Lorena] pseudomona a.
21:53:56 [crusher] P.aueroginosa..HUTALS
21:53:58 [Step_1] guanylate cyclase
21:54:10 [Hmmmmmm] ok im confused crusher is ur ans chlamydia or diphteria?
21:54:48 [crusher] which org causes ATYPICAL PNEUMONIA,how do u see in X.rays
21:55:01 [Step_1] clamydia for crushers question and treat with erythromycin or tetracyclin
21:55:04 [Lorena] s toxin stimulates guanylate cyclase
21:55:19 [hutals] yep, Pseudomonas aeruginosa
21:55:26 [Lorena] thanks crusher and steo
21:55:39 [crusher] by CAMP and adeny;late cylase for E.COLi
21:55:56 [Step_1] mycoplasma pneumonia
21:55:57 [Hmmmmmm] ty step 1
21:56:44 [Lorena] atypical pneumonia can be caused by chlamydia
21:57:51 [crusher] insidious onset DRY COUGH(atypical Pneumonia)mycoplasma pnemonia.legionella,chlaydia and coxilela..diffuse interstial infiltrates in x.rayss.Tx is ERYTHROMYCIN
21:58:16 [Hmmmmmm] beatiful explanation crush
21:58:23 [Lorena] nice
21:58:41 [Step_1] good job crusher
21:58:43 [ash] what medium contains sterols,purines and pyrimidines and which organism needs it?
21:58:45 [hutals] What causes tetanus? (give bacteria and disease process)
21:59:13 [crusher] plz remeber the Tx..in exam sometimes they end in asking treatment
21:59:45 [ash] acts on ganglioside receptors
21:59:51 [erum] clostridium tetani
22:00:25 [Hmmmmmm] risus sardonicuz and ophisthotonus
22:00:28 [hutals] btw, i just learned that when you click on someones name before posting, it sends them the message only and no one else will see it
22:00:39 [crusher] clostidium tetanus..by toxin resulting in ascending paralysis,,toixin is neurospastic means destroy the nerves
22:00:42 [Dr_Rolon] risus sardonicuz?
22:00:51 [erum] causes spastic paralysis via gaba release blockade
22:01:02 [ash] to hutals are you sure?
22:01:02 [hutals] yep, Clostridium tetani: exotoxin produced blocks glycine release
22:01:06 [Lorena] thank you hutals i didnt know that
22:01:22 [ash] i have been sending such messages since when
22:01:23 [Hmmmmmm] swarming in medium? organisM?
22:01:40 [crusher] protus??
22:01:44 [Lorena] i have been doing that a lot lately
22:01:51 [Hmmmmmm] yes
22:01:56 [ash] proteus and clostridium perfringens
22:02:00 [Hmmmmmm]
22:02:14 [hutals] i'm pretty sure, coz i noticed it on the transcript that step 1 posted and some stuff was there and some wasn't whenever the persons name was highlighted
22:02:17 [Dr_Rolon] hmmmmmmmmmm what is risus sardonicuz?
22:02:34 [Hmmmmmm] grimace in tetany
22:02:36 [ash] p on blood agar and cl. on milk media
22:02:50 [Hmmmmmm] the facial muscles are contrated dr rolon
22:02:54 [hutals] i thought it was just a way to adress someone, but i was wrong
22:02:55 [Dr_Rolon] thx
22:03:03 [Dr_Rolon] w
22:03:12 [Step_1] i thought that too...thanks for pointing that out hutals
22:03:13 [ash] i thought so too
22:04:34 [Step_1] that explains why some people ask for answers after they've already been posted
22:04:41 [Hmmmmmm] what is weil felix?
22:04:51 [ash] this pathogen has fimbria that create a stacked brick like thick biofilm by attaching to eachother and enterocytes.what is it?\
22:05:37 [drkittu] Proteus
22:05:42 [Lorena] it is a diagnostic test for ricketsia ricketsi , where you use proteus or something like that
22:05:47 [Hmmmmmm] agree drkittu
22:06:02 [Step_1] weil felix test is positive in most rickettsia except for the unusual coxialla curnetti
22:06:26 [Step_1] oops, Burnetti
22:06:42 [crusher] greenish vaginal discharge with fishy smell,epithelkial cells covered with bacteria,,whats the organism n whats the treatment
22:06:45 [Hmmmmmm] i thougth it was reaction or rickettsia with proteus vulagris?
22:06:55 [drkittu] Gardinella
22:07:19 [drkittu] Metronidazole
22:07:19 [hutals] trich or gardinella, i always mix them up
22:07:23 [Lorena] yes hmm thats what it is
22:07:29 [ash] crusher trichomonas vaginalis
22:07:46 [Lorena] agree trichomonas
22:07:52 [drkittu] Tricho causes Frothy discharge
22:08:02 [Lorena] and metro for tx
22:08:05 [ash] but trichomonas is not bacteria
22:08:09 [crusher] its gardenilla vaginalis with CLUE CELLS,is the CLUE,,tx is metroniadazole
22:08:22 [ash] frothy and also greenish
22:08:32 [drkittu] Agree Ash'
22:08:44 [Lorena] true ash ....thanks
22:08:58 [hutals] thanks
22:09:21 [hutals] What causes the flu?
22:09:46 [hutals] oh, nevermind, thats a virus question which is for sat
22:09:47 [Hmmmmmm] influenza virus
22:09:56 [drkittu] Influenza virus
22:10:02 [ash] influenza a and b mostly
22:10:09 [hutals] the point is that its not H flu which is a bacteria
22:10:38 [Lorena] good point
22:10:43 [ash] i thought viruses was today
22:11:01 [ash] then what are the topics for today?
22:11:16 [crusher] how can u define intracellar obligates and faculative intracellular
22:11:19 [hutals] i thought viruses was sat
22:11:19 [Hmmmmmm] bacteriology?
22:11:53 [ash] hmmmmmmm thanks
22:12:01 [ash] when is immunology then?
22:12:04 drsnsathya enters this room
22:12:45 [Dr_Rolon] distinguishing feature of mycoplasma is???
22:13:05 [Hmmmmmm] ok here are my mneumonics for facultative anearobes
22:13:20 [Hmmmmmm] SLoBbY MiLF *sorry for the language
22:13:21 [crusher] intracellar organisms like (chlmaydia nad ricketsias ) lacks ATPs aand facultative intracelluar like(mycobacterium,brucella)surnive in both AEROBIC and ANEROBICS
22:13:22 [Lorena] no cell wall
22:13:47 [Step_1] good point, we forgot about immuno. i guess we should try to do as much micro as we can today, including viruses, so that we can cover immuno on sat (plus whatever we didnt cover in micro)
22:13:51 [Dr_Rolon] no cell wall, right
22:13:51 [ash] thanks crusher i didnt know that
22:14:11 [Hmmmmmm] Salmonella, Legionella, Listeria Brucella, Yersinia, Mycobacterium, Fransiclla
22:15:16 [Lorena] thanks hmmm
22:15:17 [Hmmmmmm] obligate anerobes ABC actinomyces, bacteriodes, clostridum
22:15:46 [ash] medusa head colony is shown by which bacteria?
22:16:27 [drkittu] Klebsiella
22:16:42 [crusher] what the mechanism of cHOLERA and PERTUSIS and vibreo cholera?
22:17:05 [Hmmmmmm] cholera turns on the on pertusis turns off the off
22:17:10 [Step_1] anthrax??
22:17:25 [drsnsathya] cholera increasae
22:17:29 [Hmmmmmm] step 1 is rite anthax
22:17:39 [ash] cholera toxin stimulates GS, adenyl cyclase and increases camp
22:17:44 [drsnsathya] i am sorry
22:17:45 [Step_1] cAMP
22:18:02 [ash] pertussis inhibits Gi and thus increases camp
22:18:08 [Lorena] agree with ash
22:18:10 [Step_1] hi drsnsathya
22:18:19 [ash] right step_1
22:18:26 [drkittu] Malignancy causing cholera like diarrhoea?????
22:18:33 [Dr_Rolon] common characteristic of fungi that cause systemic mycoses?
22:18:37 [drsnsathya] hello step 1
22:18:47 [ash] somatostatinoma?
22:18:48 [Hmmmmmm] IgA protease my mneumonic is HaNNS
22:18:51 [crusher] vibreo cholera toxin activates the Gs causing rice watery stool.pertusis disable the Gs and causes whopping cough .
22:18:59 [Lorena] they are dimorphic
22:19:10 [Step_1] srsnsathya, you might want to pick brighter color from the rainbow on the right
22:19:25 [Hmmmmmm] H. infllu, both Niesserhea, S. pneumona
22:19:32 [drsnsathya] 0.k
22:19:49 [ash] which fungus shows reverse dimorphic characteristic?
22:20:27 [ash] thanks
22:20:51 [drkittu] Candida
22:21:09 [ash] great drkittu!!!
22:21:15 [Step_1] thanks drsns, much better
22:21:18 [drsnsathya] cryptocoocus neoformans
22:21:37 [Hmmmmmm] Once there was a boy. He was very hungry so he reheated some rice. Soon he got bad diarrhea. What organism?
22:21:38 [drsnsathya] first time.
22:21:55 [Lorena] Bacillus cereus
22:21:56 [drsnsathya] bacillus cerrus
22:21:58 [ash] drsnsathya cryptococcus is monomorphic
22:22:06 [Hmmmmmm] good
22:22:11 [crusher] cereus.Bacillus
22:22:13 [ash] hmmmmmm bacillus cereus
22:22:19 [drkittu] Bacillus
22:22:20 [drsnsathya] is it
22:22:21 [Dr_Rolon] b cereus
22:22:23 [Hmmmmmm] all rite
22:22:56 [hutals] very soon, within a few hours. the only other food poisoning that is that quick is what?
22:22:58 [ash] pt. had food poisoning in 6 hours.cause?
22:23:15 [ash] staph.aureus
22:23:18 [drsnsathya] staphylocoocus
22:23:19 [Lorena] staph aureus
22:23:21 [crusher] is it not cstaph aureus
22:23:21 [drkittu] Staph aureus
22:23:28 [Hmmmmmm] good question ash
22:23:38 [Step_1] B cereus and Staph aureus have very quick onsets of < 4 hrs or something like that
22:24:00 [Hmmmmmm] 2 -6 step 1 calpan
22:24:14 [crusher] atypical pneumonia in bird breeders whats the org?
22:24:24 [Step_1] thanks, i knew it was something like that
22:24:34 [drsnsathya] histoplasma
22:24:40 [hutals] yep, staph is the other fast food poisoning
22:24:49 [ash] immunogenic component in n.meningitidis and in s.pyogenes capsule?
22:24:55 [drkittu] Psittacosi
22:24:58 [Dr_Rolon] histoplasma capsulatum?
22:24:58 [Lorena] cryptococcus n.
22:25:06 [ash] crusher histoplasma
22:25:14 [crusher] chlamidia ,Psitticosis
22:25:26 [ash] also pneumocystis carinii
22:25:40 [Lorena] histoplasma is in relation with bats
22:25:46 [ash] oh sorry i meant psittacosis
22:26:06 [Hmmmmmm] rice water diarrhea? organism?
22:26:19 [ash] hmmmmmmm cholera
22:26:22 [Lorena] v. cholerae
22:26:26 [hutals] histo is bat and bird feces, but they will usually say bats because birds can be more than one thing
22:26:27 [drkittu] Cholera
22:26:36 [crusher] v.cholera
22:26:37 [Dr_Rolon] e coli
22:26:44 [hutals] rice water is cholera
22:26:48 [drsnsathya] in which food poisoning pt will die tdue to respiratoy failure?
22:26:50 [Hmmmmmm] good drkittu and crush
22:26:52 [ash] fungus that mainly kills type 1 pneumocytes?
22:27:12 [Hmmmmmm] baby drinks honey and gets floppy? orgranism?
22:27:17 [ash] drsnsathya botulinum
22:27:25 [Lorena] cryptococcus can also be a cause in pigeon breeders, acute pulmonary usually asymptomatic
22:27:30 [Step_1] Botulism
22:27:31 [ash] hmmmmmm botulinum
22:27:36 [drsnsathya] your r right
22:27:38 [Lorena] c. botulinum
22:27:47 [crusher] bolilinium
22:27:53 [ash] good point lorena
22:28:22 [Dr_Rolon] what mecanism for botulisn?
22:28:29 [drkittu] Pneumocystis
22:28:36 [ash] fungus that kills mainly type 1 pneumocytes?
22:28:48 [Hmmmmmm] botulism is corrent
22:28:51 [Lorena] inhibits the realease of Ach
22:28:55 [drsnsathya] which is the most sensitive and specific test for syphillis
22:28:58 [ash] dr rolon by inhibiting ach release
22:29:06 [crusher] PCP??/ash
22:29:13 [ash] drsnsathya ftaabs
22:29:17 [crusher] FTS..
22:29:21 [Dr_Rolon] right
22:29:23 [ash] right crusher
22:29:31 [Step_1] FTS
22:29:44 [Dr_Rolon] ftb/abs for syphilis
22:29:53 [Hmmmmmm] VDRL is sensitive?
22:29:55 [Dr_Rolon] fts sorry
22:30:05 [drsnsathya] TPI is specific and fta is sensitive
22:30:06 [Hmmmmmm] ftb abs is specific
22:30:11 [ash] hmmmmmmm yes but not specific
22:30:22 [Hmmmmmm] doh
22:30:49 [hutals] What do RMSF, syphilis, and coxsackievirus A infection have in common?
22:30:58 [Hmmmmmm] thanks ash
22:31:05 [ash] cardiolipin antigen
22:31:18 [Step_1] rash on palms and soles
22:31:50 [ash] agree with step_1
22:32:02 [Lorena] good question hutals
22:32:26 [crusher] what family coxaia A virus belong??
22:32:34 [hutals] thnx lorena. yep, rash on palm and sole is seen in each (coxasackievirus A =hand, foot, and mouth disease)
22:32:37 [Hmmmmmm] what organism is involved with erythma marginatum, subcu. nodules, carditis, chorea and polyarthritis
22:33:09 [ash] strepto.pyogenes
22:33:20 [ash] rheumatic fever
22:33:21 [Lorena] strept grou A
22:33:21 [hutals] picorna
22:33:25 [Hmmmmmm] good ash
22:33:35 [Hmmmmmm] good lorena
22:33:36 [ash] what strain causes glomerulonephritis?
22:33:37 [drsnsathya] group a beta hemolytic strptococcus
22:33:48 [crusher] picorna virus which is a positive sense naked virus causes hand foot and mouth disesse
22:34:35 [Lorena] strep group A
22:34:42 [ash] corn meal agar is for ?
22:34:43 [Hmmmmmm] 6.5 NaCl?
22:35:17 [ash] hmmmmmm enterococcus
22:35:23 [drsnsathya] canidida
22:35:27 [crusher] enterococcus fecalis
22:35:37 [Lorena] s. group D or enterococcus
22:35:38 [Step_1] Picorna mneumonic is "PEE Co Rn A" Polio Entero, Echo, Cosackie, Rhino, hep A
22:35:42 [Hmmmmmm] rite again ash and crush
22:35:46 [ash] drsnsathya good
22:35:52 [Dr_Rolon] gotta go now, will be back saturday
22:36:02 [Hmmmmmm] dr rolon bye
22:36:08 [ash] bye goodnite
22:36:15 [Step_1] ok, see you sat dr rolon.
22:36:18 [Lorena] bye Dr Rolon see you on saturday
22:36:25 [hutals] bye rolon
22:36:25 [crusher] bile soluble??
22:36:28 [Hmmmmmm] thanks step 1 for teh neumonic
22:36:34 [drsnsathya] bye
22:36:45 [Step_1] no prob
22:36:48 [ash] guys what are we discussing on saturday?
22:37:05 [ash] crusher s.pneumoniae
22:37:18 [Step_1] i think it will need to be immunology and whatever we dont get thru tonight
22:37:20 [Lorena] how about virology and immnuno?
22:37:22 [Hmmmmmm] immuno and a bit of fungi and virus if please
22:37:26 [crusher] correct its pyogens
22:38:12 [ash] crusher it is s.pneumoniae!!
22:38:27 [Lorena] diff between nocardia and actinomyces
22:38:28 [drsnsathya] streptococcus pyogenes strain 2,49,37,59-61
22:38:54 [Lorena] agrre bile soluble is strept pneumoniae
22:39:14 [ash] lorena nocardia is partially acid fast that act.is not and actino. is anerobe that nocardia is not
22:39:28 [Step_1] nocardia is acid fast (partially), actinomyes has sulfur granules
22:39:39 [Lorena] very good ash!
22:39:46 [Step_1] and actino is anaerobic
22:40:01 [ash] step_1 both have sulfur granules
22:40:06 [Hmmmmmm] an african patient get treated for gastero enteritis and develops membranes in colon ? dx?
22:40:19 [Lorena] also actinomyces is an endogenous infection , nocradia is exogenous, tx for actino is penicillin and for nocardia is sulohas
22:40:19 [Hmmmmmm] no nocaria has no sulfu
22:40:23 [crusher] sulfonamide for nocardia and penicillin for actino..SNAo.Pneomonic
22:40:32 [Hmmmmmm] and treatment is SNAP
22:40:34 [ash] pseudomembranous colitis c.difficale
22:40:44 [Lorena] very good step and crusher too
22:40:48 [Hmmmmmm] nice ash
22:40:57 [crusher] pseudomenbranueos colitis
22:41:04 [Lorena] c. difficile, tx is metronidazole
22:41:14 [Step_1] ash, i thought that sulfur granules were onely actino, which sulfonamides are used for treatment of nocardia. but didnt think that sulfur granules were seen in nocardia??
22:41:19 [drsnsathya] treatment for p.colitis
22:41:25 [ash] hmmmmmmmm are you sure? i remember it from surgery
22:42:03 [drsnsathya] vancomycin
22:42:04 [crusher] metroniadazole
22:42:07 [Lorena] metronidazole
22:42:10 [Hmmmmmm] a child with fever has low platelet count and has neurologic and nephrologic symtoms what orgranis is implicated?
22:42:16 [Hmmmmmm] sorry ash im not sure
22:42:47 [crusher] ITP?
22:42:48 [Hmmmmmm] yes my 1st questions answer is pseudomembranous colitis and orgrnism is c.difficle
22:42:55 [Hmmmmmm] crusher is HUS
22:42:57 [ash] they are not pathognomonic of nocardia but can be seen in it i am pretty sure
22:43:21 [Hmmmmmm] and Ecole O157:H7? (cant remember the number)
22:43:30 [Lorena] E. coli EHEC
22:43:40 [Hmmmmmm] good lorena and crush
22:43:48 [ash] hmmmmmm this is right no.
22:43:55 [crusher] oh ok hmmmmmmmm thanks
22:44:05 [Hmmmmmm] thannk ash
22:44:11 [Hmmmmmm] np crush
22:44:21 [ash] you are always welcome
22:44:45 [crusher] very hy qs hmmm and ash thanks for asking
22:44:50 [Lorena] hemolytic uremic syndrome in kids > 5 years old
22:45:04 [crusher] e.coli
22:45:20 [drsnsathya] e coli?verocytotoxin
22:45:21 [ash] ok people i have to go now thanks for spending time with me today
22:45:26 [drkittu] EH ecoli
22:45:31 [ash] good night
22:45:38 [drkittu] Bye Ash
22:45:47 [drkittu] Good night
22:45:48 [crusher] thanks for coming ashh..and asking good q,s
22:45:53 [crusher] good night
22:45:57 [Lorena] thank you ash, you had great questions, see you on saturday
22:45:57 [Hmmmmmm] what antibiotics cause c. diffcile infection?
22:46:04 [Hmmmmmm] bye ash it was a pleasure
22:46:12 [ash] bye all.
22:46:18 [crusher] vancomycin?
22:46:24 [Hmmmmmm] see ya next week
22:46:32 [Hmmmmmm] crusher give me 4
22:46:33 [Lorena] clyndamicin mostly
22:46:52 [Hmmmmmm] cephalo sporins, clindamycin, amoxicillin, and ampicillin
22:46:59 [Lorena] broad spectrum antibiotics
22:47:11 [Hmmmmmm] the boards know everyone thinks clinda lorena
22:47:12 [Step_1] bye ash, thanks for the great questions
22:47:25 [crusher] yes broad spectrum..the drug causing dis is the Tx of dis
22:47:28 [drsnsathya] vancomycin cuses it clindamycin is for tretment.am i right?
22:47:53 [Hmmmmmm] yes drsnsathya
22:48:13 [drsnsathya] thankx lorena
22:49:11 [Step_1] no, vanco is one of the treatments for c diff when metro doesnt work. c diff is caused mostly by clindamycin, but others mentioned too
22:49:37 [drsnsathya] then i am right
22:49:40 [Lorena] exactly
22:49:50 [crusher] i always confused in it..thanks for clearification
22:50:29 Jugular enters this room
22:51:06 [Hmmmmmm] one sec ppl ill have more questions
22:51:27 [Step_1] it will be presented as a pt in the hospital for whatever (on antibiotics like clinda, ampi, etc) and develops diarrhea. treat with metro (vanco is last resort)
22:51:31 [crusher] we are here hmmm keep askin
22:51:37 [Hmmmmmm] which one is motile? shigella or salmonella
22:51:40 [Step_1] hi jugular
22:51:52 [drsnsathya] shigella
22:51:54 [Lorena] salmonella
22:51:56 [Jugular] hi
22:52:03 [drsnsathya] hi jugular
22:52:04 [crusher] is it salmonella??
22:52:07 [Jugular] Hi
22:52:15 [Hmmmmmm] yeah crusher
22:52:22 [Step_1] salmon swim (motile) up stream
22:52:23 [Jugular] Congrats Step 1 for doing so well!
22:52:36 [Hmmmmmm] my neumoic is (ShIgella, SIts)
22:52:56 [Step_1] thanks jug, couldnt have done it without everyones help
22:53:09 [drkittu] Falling leaf motility..... organism?
22:53:10 [Lorena] sshigella has NO flagella
22:53:39 [Jugular] Listeria?
22:53:42 [crusher] cool..so many pneomonics ..cool
22:53:48 [drsnsathya] oh i am wrong
22:53:50 [Lorena] campylobacter j?
22:53:53 [Step_1] giardia is falling leaf
22:54:08 [Jugular] ok
22:54:09 [drkittu] Giardia
22:54:09 [Hmmmmmm] what is falling leaf mot?
22:54:36 [Jugular] which one has tumbling motility?
22:54:47 [Hmmmmmm] listeria jug
22:54:48 [drsnsathya] proteus
22:55:00 [Lorena] listeria
22:55:01 [Step_1] hmmmm, under the microscope, it has a motility that looks like a failing leave (swaying side to side)....giardia
22:55:06 [drkittu] Listeria
22:55:07 [drsnsathya] it has swarming motility
22:55:10 [Step_1] listeria for tumbling
22:55:18 [Hmmmmmm] thanks stp1
22:55:34 [Step_1] no prob
22:55:56 [Step_1] swarming is proteus
22:56:07 [Hmmmmmm] yes
22:57:00 [crusher] thanks step1 for such good motility org providing
22:57:06 [Step_1] the other one is cork screw motility which is trichomonas
22:57:09 [Hmmmmmm] man comes to the office with damaged nasal cartilgae nad a -ve lerpmin test dx?
22:57:10 [Lorena] Naegler's reaction positive, what bug?
22:57:15 [Step_1] no prob crusher
22:57:17 [Hmmmmmm] thanks step1
22:57:35 [Hmmmmmm] lor is it listeria
22:57:40 [crusher] tuberculoid leprosy
22:58:00 [Lorena] thanks for the motility info step!
22:58:02 [Hmmmmmm] yes crusher but the lepromatus
22:58:17 [Jugular] EbV causes nasopharyngeal CA
22:58:23 [Lorena] it is C. perfringens
22:58:35 [Jugular] -ive lerpmin means?
22:58:46 [Hmmmmmm] oh thanks lorena
22:58:57 [drkittu] MOst common cause of neonatal meningitis?
22:59:06 [Hmmmmmm] jugular its a test for leprosy
22:59:08 [Lorena] you re welcome hmmmmmmm
22:59:14 [drsnsathya] h influenza
22:59:16 [Hmmmmmm] S. pyogenes
22:59:29 [Lorena] strept. pneumo
22:59:35 [crusher] group B strepcocuus
22:59:42 [Hmmmmmm] wat is mannitol salt +ve
22:59:44 [Step_1] Group B strep
22:59:46 [crusher] or strep agalactia
22:59:54 [Hmmmmmm] oops
22:59:55 [Jugular] so, for leprosy to be diagnosed as =ive, does the lerpmin test has to be be -ive?
22:59:57 [drkittu] Strep.agalactiae
23:00:03 [Hmmmmmm] ur rite crush
23:00:06 [Step_1] h influ is no longer a common cause because of vaccine
23:00:19 [Hmmmmmm] no jugular leprosy is 2 types
23:00:28 [Hmmmmmm] tuberculiod and lepromatous
23:00:30 [Lorena] second is E. coli and thrid is listeria m. ...am i right?
23:00:34 [drsnsathya] less than io year its common
23:00:55 [Step_1] yes lorena, very good
23:00:58 [drsnsathya] sorry 1 year
23:00:59 [Hmmmmmm] tuberculiod is less severe and lepromin is +ve
23:01:13 [Hmmmmmm] lepromatous is more severe and lepromin -ve
23:01:13 [Lorena] thanks step, i was not sure
23:01:25 [drkittu] Yes lorena agree
23:01:29 [Jugular] thanks
23:02:24 [Lorena] and in adults? causes of meningitis
23:02:28 [Step_1] but its no longer the most common cause drsnsathya....they wont likely catch it if mom and others dont have it anymore
23:03:06 [Hmmmmmm] adults is nmenigitidis and s. pneumo
23:03:15 [Step_1] in 1 mo to 18 yrs, the most common is N meningitis and in over 18 its strep pneumo
23:03:31 [Step_1] at least according to gol.jan
23:03:39 [crusher] agree with step1
23:03:40 [Lorena] excellent
23:04:21 [Hmmmmmm] 2 obligate intracellular?
23:04:40 [Jugular] ricketsia
23:04:44 [Jugular] and chlamydia
23:05:01 [Step_1] clamydia and rickettsia
23:05:03 [Lorena] agree
23:05:06 [crusher] chalmydia and ricketsia
23:05:22 [Hmmmmmm] good everyone
23:05:55 [drkittu] Hyalurinic acid and Sialic acid are non immunogenic.... Why?
23:06:07 [Hmmmmmm] wow im getting dizzy cant think of any questiosn
23:06:10 [crusher] cat and dog bites what the organism give its morphology
23:06:14 [Jugular] no protein
23:06:36 [Lorena] pasteurella multocida
23:06:40 [Step_1]>[drsnsathya] does that sound right. i'm only mentioning that because our professor drilled us about it. i agree that neonates arent vaccinated, but the incidence has gone down dramitically lately.
23:06:43 [Jugular] pasteurilla multocida
23:07:04 [Step_1] pasturella
23:07:09 [Hmmmmmm] what is ***** focus?
23:07:14 [Jugular] drkittu, is it 'coz they don't have protein in their structure?
23:07:15 [crusher] gram -ve coco baccilus pasterella multiocida
23:07:31 [Step_1] small gram - rods
23:08:01 [drkittu] They are intracellular components, they are not recognised as foreign by body.
23:08:11 [Jugular] my pnemonic for gram -ive coccobacillus is
23:08:27 [Jugular] Hae Bruce Pasture the Border
23:08:28 [drsnsathya] what i read was h .influenza till 1 year of age. i am not sue i will check it
23:08:59 [Step_1]>[drsnsathya] thanks drsnsathya, let us know
23:09:06 [Hmmmmmm] thanks jugular amazing monic
23:09:17 [Step_1] thanks jug
23:09:17 [crusher] give 2 organism name which are OXIDASe +ve
23:09:32 [Jugular] Which organism causes abortion in human?
23:09:38 [Step_1] vibrio
23:09:41 [Jugular] P Aeruginosa
23:09:45 [Lorena] ***** focus? what is it hmmmmmmmm?
23:09:47 [Hmmmmmm] pseudomons and yersina crush?
23:09:56 [Jugular] what's the 2nd one?
23:10:00 [Hmmmmmm] lorena its 2ndary tuberculosis
23:10:13 [Hmmmmmm] its lesion in the apex
23:10:29 [Lorena] campylobacter,neisseria , vibrio and pseudomona are oxidase +
23:10:52 [Lorena] thanks hmmmmm
23:10:55 [drkittu] All Neissria are positive
23:11:09 [crusher] good lorena
23:11:27 [Hmmmmmm] thanks lornera
23:11:39 [Step_1] abortion question ....is that listeria??
23:11:52 [Jugular] ya
23:11:56 [Lorena] organism that causes abortion: listeria, toxoplasma g.
23:12:02 [crusher] i think listeria causes abortion..agree vwith step1
23:12:22 [Jugular] Which organism causes abortion in cows?
23:12:58 [Hmmmmmm] notched tell and deafness? dx?
23:13:05 [Jugular] Toxoplasma causes abortion?
23:13:10 [Hmmmmmm] whoops not tell but "teeth"
23:13:36 [crusher] syphilus
23:13:52 [Hmmmmmm] ggood crusher
23:13:53 [Lorena] yes
23:14:31 [Step_1] syphillis
23:14:54 [Step_1] oops, i'm too late
23:15:04 [Hmmmmmm] good step
23:15:25 [crusher] you not late step1 ..u r ahead of all of us
23:15:30 [Jugular] Hey, Step 1, Are the Goljan HY 100 pg notes useful?
23:15:49 [Step_1] not at all, i learn something new everytime i join you all
23:15:56 [Hmmmmmm] hey step 1 u used WebPrep rite? did u use vidoe lectures?
23:16:08 [Hmmmmmm] whoops sorry
23:16:24 [Lorena] dont type c aplan
23:16:37 [Lorena] or go- l jan
23:16:39 [Step_1] i didnt have time to go thru all of the 100 pgs because i got them too late, but the parts i went through were pretty good. seemed like a summary of his lecture notes
23:16:47 [Jugular] step 1 , are the HY 100 pg notes useful?
23:17:00 [crusher] thats may be the secreyte of ur sucess never let go any chance of learning
23:17:18 [Jugular] r they really HY?
23:17:39 [Hmmmmmm] ok ppl i will put some biochem and other cards up for download 2day i found them in some school website very good flash cards
23:17:40 [Jugular] r they comparable with FA?
23:17:53 [Step_1] web prep is good, but not as a primary source because it just hits very high yield stuff. its good to do them using the regular kap lan lecture notes
23:18:09 [Hmmmmmm] ok thanks step
23:18:29 [Jugular] Thanks Crusher
23:18:35 [Lorena] thank s hmmmmm
23:18:52 [Jugular] I feel overwhelmed with The 100 pgs and FA as well
23:19:07 [crusher] thanks hmmm for concern
23:19:08 [Jugular] F A as well
23:19:14 [Step_1] jug, i think f.a. is another word we should type
23:19:23 [Hmmmmmm] np crush and lorena
23:19:36 [Jugular] did u do f.a. as well, Step 1?
23:20:13 [Step_1] f.a. is another high yield. remember that repetition is key to learning. must go over the stuff over and over, but its gets much easier the 2nd, 3rd, 4th time around
23:21:00 [drkittu] Got to go. Good Night everyone. See you next week
23:21:14 [Lorena] i will name some bugs and you will tell me the animals they are in association with ....ok?
23:21:15 [Step_1] yes, using the chat schedule, i would listen to web prep using kap lan notes, and also f.a., except for path where i used gol jan. and dont forget lots and lots of questions
23:21:17 [Jugular] I studied Physio and did a few questions from A&L and my score was around 50%!
23:21:24 [Hmmmmmm] was fun havign ur dr kittu
23:21:30 [Lorena] thanks Drkittu!! see you next chat
23:21:32 [Hmmmmmm] ty step 1
23:21:32 [Jugular] Where is my problem?
23:21:41 [drkittu] Thanks Hmmmmm
23:21:46 [drkittu] bye
23:21:48 [Hmmmmmm] jugular if u need some mcq programs ill give u some
23:21:51 [Hmmmmmm] have messenger?
23:21:56 [Hmmmmmm] ill send u some
23:22:02 [Step_1] thanks for chatting drkttu, see you on sat
23:22:16 [Hmmmmmm] that goes for u all too if u need any!
23:22:16 [Jugular] Thanks Hmmmm
23:22:21 [crusher] ok guys what about viruses
23:22:26 [Lorena] brucella.......
23:22:38 [Jugular] I have lots of mcq sources
23:22:46 [drsnsathya] I TO ONEED SOME MCQ PROGRAM
23:23:03 [Jugular] which ones are you offering Hmmmmmmm?
23:23:07 [crusher] i be back in a minute
23:23:13 [Hmmmmmm] ok crush
23:23:25 [Hmmmmmm] appleton and lange
23:23:31 [Step_1] yes, we have about 35 mins to cover whatever we can in micro, then we will leave the rest for sat with immuno
23:23:32 [Hmmmmmm] 2000 questiosn
23:23:35 [Hmmmmmm] u ppl need?
23:23:39 [Lorena] thats great thanks hmmm
23:24:14 [Hmmmmmm] sorry step1 if u ppl wait after chat then we'll share it (i think poor step1 is staying awake for our review)
23:24:15 [hutals] hmmm, maybe upload them to valuemd so we can all share them?
23:24:37 [drsnsathya] yes hutals is right.
23:24:38 [Hmmmmmm] sure hutals but its like 9 megs
23:25:05 [Step_1] dont worry about me, i just want to keep things running smoothly for you all
23:25:11 [Lorena] ok guys i better get going
23:25:13 [Hmmmmmm] dam i mean like 22 megs
23:25:27 [Hmmmmmm] bye lorena was a pleasure
23:25:28 [hutals] all in one file?
23:25:32 [Lorena] thank you step 1 for still participate in the chats, i will see you all on saturday
23:25:46 [drsnsathya] hi step 1 i am new to the chat.today is the first day.
23:25:57 [Step_1] lorena, it was great to have you hear with us again. see you sat
23:26:05 [Lorena] i wil check the transcript to see what was left , bye hutals, pleasure tio meet you hm and all
23:26:20 [Hmmmmmm] ok bye lorena
23:26:33 [Step_1] welcome drsnsathya, you're doing great. you have great questions and answers
23:26:51 [hutals] good nite lorena. see ya next time
23:26:51 [drsnsathya] bye lorena. good to discuss with you
23:27:37 [Step_1] maybe we should leave viruses and immuno for next time since virology is pretty long anyway.
23:27:37 [Hmmmmmm] ok give me B-hemolytic bateria
23:27:47 [Jugular] Step 1, after QBank which one is the best source of questions?
23:27:51 [Hmmmmmm] yes please step1 im kinda week in viruses
23:28:19 [Hmmmmmm] btw can i add 7 megs in attachment in a post?
23:29:18 [hutals] i dont know, you can also talk to the admin to see if they can help (assuming its not copyrights or anything)
23:29:26 [drsnsathya] oh come on1 actually i have read once from Kaplan notes but had 2 months break coz i went to india for somme personal stuff. i have just starated the prep. next week i am going to start Kaplan live 1 prep class. can you give your e mail id.step 1
23:30:12 [Step_1] remember that we cant type stuff like kap lan, q.bank, first aid, f.a., amaxon, gol.jan, etc
23:30:15 [drsnsathya] oh i am sorry
23:30:31 [Step_1] or we will get those links....good for the forum, but bad for the chats
23:31:29 [Jugular] Step 1, next to K Bank which one is the next best Q Source?
23:31:39 [Hmmmmmm] B-hemolytic other than strep pyogenes adn strep. agalacatie are stap aureus, listeria and clostridum perfringens
23:32:27 [Step_1] i think it is online q.bank is best because it covers both the format (timining, etc) and learning (detailed answers). after that i think b.s.s. is pretty good. the nbme test is also good (45 bucks) because it tells you where you stand, but no answers provided. tommys concepts are also good.
23:32:49 [Hmmmmmm] jugular i also this webpath is priceless
23:33:42 [Jugular] webpath doesn't explain the answers!
23:34:24 [Hmmmmmm] yes it does jug
23:34:33 [Hmmmmmm] a small explanation
23:34:34 [Jugular] really?
23:34:37 [Step_1] yes, webpath is a good question source for path. also gol.jan has some good remembered questions to read. there are so many sources, just try not to overextend. the most important is q.bank. i actually did that twice instead of using another source (but i did some others as well)
23:34:53 [Jugular] I did the renal section of Physio test files
23:35:02 [Jugular] and there were no explanations!
23:35:36 [Hmmmmmm] ok i have a integrative question
23:35:58 [hutals] tommy has a great free source for those strapped for cash
23:36:12 [Hmmmmmm] african american patient was treated for malaria and got anemia dx?
23:36:29 [Jugular] sickle cell anemia
23:36:41 [hutals] also take a look at the recalls from last yr by trinity, melissa and others....priceless
23:36:44 [drsnsathya] sickle cell anemia
23:36:57 [Jugular] or is it drug reaction?
23:37:19 [Jugular] G6PD deficiency?
23:37:19 [Hmmmmmm] ill wait for step 1's reply too since the server is slo
23:37:53 [drsnsathya]>[Step_1] i am taking live prep course from next week . i am gonna miss this chat for 2 months.
23:38:06 [Step_1] drug rxn
23:38:15 [Step_1] sorry computer acting funny
23:38:18 [Hmmmmmm] G6PD
23:38:34 [Hmmmmmm] remember chloroquine ?
23:39:05 [Jugular] G6PD deficient pts react by having hemolysis when they take certain drugs like antimalarial drugs or fava beans
23:39:14 [Hmmmmmm] yes jugular
23:39:26 [Step_1]>[drsnsathya] thats excellent. the live preps are the best. i think everyone would do them if they had the money, time, and center close by. let us know how it goes
23:39:36 [Hmmmmmm] sorry its not fair since patho is next week but a very tricky integrative question
23:39:45 [Jugular] Iam sleepy, I gotta go
23:39:53 [drsnsathya] BCG vaccine give protection for what are the diseases
23:39:57 [Hmmmmmm] bye jugular its been a pleasure
23:40:01 [Jugular] this is integrated mainly with Biochem
23:40:09 [Step_1] good chatting with you jug
23:40:16 [Jugular] TB
23:40:20 [Jugular] ya
23:40:23 [Jugular] ame here
23:40:26 [hutals] see ya in next chat jugular. good nite
23:40:41 [Jugular] Thanks Step 1 for giving us so much support
23:40:43 [drsnsathya]>[Step_1] . i am gonna take the exam in dec. sure i will be in touch with this forum
23:40:44 [Hmmmmmm] ans please sathya?
23:40:57 [Jugular] nd thanks to the rest for participating
23:41:23 [drsnsathya]>[Step_1] this is a reall good source to revise
23:41:27 [Jugular] the aswer is tuberculosis
23:41:32 [Step_1]>[drsnsathya] i'm studying for step 2 now, but i'll still be around to help out as much as i can. try to stop by when you can
23:41:49 [Jugular] full form of BCG is Bacillus Calmette and Guerin
23:41:58 [Hmmmmmm] thanks jug
23:42:03 [drsnsathya] its tuberculosis,leprosy and leukemia
23:42:16 [Hmmmmmm] wow uploadign takes a long time
23:42:17 [Step_1] the thanks goes to you jugular. you've brought some great questions and answers
23:42:23 [Hmmmmmm] its still upload the program
23:42:48 [Step_1] 22 MB is pretty big....takes longer to upload than download
23:43:05 [Jugular] Take care
23:43:07 [Jugular] bye
23:43:08 [Hmmmmmm] hey step1 in teh last micro chat u said something bout difference between cat scratch and cat bite? what is it?
23:43:26 [Hmmmmmm] step 1 i zipped is to the best compression is now 6.93 megs
23:43:47 [Step_1] cat scratch is pasturella and cat scratch is bartonella henslae
23:44:15 [Hmmmmmm] can u describe bartonella to me? i cant find it here?
23:44:42 [hutals] not sure it will take that many mb in one file. i think the max is 3 mb unless the admin overrides it for you, but not sure??
23:46:25 [Hmmmmmm] lotsa questions though around 20000
23:46:30 [Step_1] Rochalimaea henselae si the old name and now called Bartonella henselae
23:46:32 [Hmmmmmm] sorry 2000
23:47:18 [drsnsathya] are you guys gonna download it in valuemd
23:47:23 [hutals]
23:48:34 [Hmmmmmm] thanks step 1
23:49:30 [drsnsathya]>[Step_1] .i too need those 2000 questions
23:50:21 [Hmmmmmm] ok anymore questions?
23:50:32 [Hmmmmmm] lobar pneumonia? orgranisM?
23:50:46 [Step_1] hmmmmm, they will probably present it in a case where a young girl was playing with her cat and then throw in a bunch of distracting stuff, but you will notice on physical that the pt has lympadenopathy, cellulitis, lymph node involvement or something like that.
23:50:49 [Hmmmmmm] 2 organism of subacute endocarditis?
23:51:01 [drsnsathya] k.pneuomoniae
23:51:22 [drsnsathya] hemolytic streptocooci
23:51:32 [Step_1] strep pmneumo
23:52:31 [Hmmmmmm] good step1 and santhya
23:53:04 [Hmmmmmm] thansk step1 for the explanation
23:53:20 [drsnsathya] bread crumb colony -which organism?
23:54:16 [Step_1] Subacute bacterial endocarditis (SBE) is usually caused by streptococcal species (especially viridans streptococci), and less often by staphylococci.
23:54:27 [Hmmmmmm] good step1
23:55:17 [Hmmmmmm] oh man the upload got cancelled max upload is 5mb
23:55:18 [Hmmmmmm] :<
23:55:36 [Hmmmmmm] ill upload tonite promise
23:56:35 [Hmmmmmm] yes sathya
23:56:55 [drsnsathya] oh thank you.
23:56:58 [hutals] let the admin know and they will probably find a solution for you. maybe you can break it up into two files?
23:57:15 [Hmmmmmm] what is the cause of damaged valves leading to subacute endocarditis
23:57:56 [Hmmmmmm] good point hutal
23:58:53 [Step_1] damaged heart valves and endocarditis in elderly can be enterococcus faecalis
23:59:16 [Step_1] the real question had that description, but asked for drug of choice?
23:59:31 [Hmmmmmm] what is the cuase of damaged heart valves?
23:59:36 [Hmmmmmm] penecilln?
23:59:56 [drsnsathya] o.k guys good night. i am leaving.
00:00:05 [Hmmmmmm] amoxi, ampi?
00:00:59 [Hmmmmmm] bye drsnsathya great having u here
00:01:14 [Step_1] i dont have an answer, but i think that it would need to be combo of peniciliin and aminoglycoside because resistant to either one alone, but known to work together. just a guess
00:01:25 [Step_1] ok, i think we're out of time
00:01:43 [drsnsathya] o.k hmmmm bye. good luck
00:02:12 [Step_1] good night to all. i guess we'll do virology and immunology on sat
00:02:13 [drsnsathya]>[Step_1] bye
00:02:34 [AoneDr] thanks a lot guys the chat was very informative to me even though i was just going thro the msgs
00:02:37 [Step_1] thanks everyone for the great chat. bye
00:02:52 [hutals] good nite everyone
00:03:03 [Hmmmmmm] ok step1 thanks for all ur help
00:03:10 [Hmmmmmm] good nite hutals
00:03:38 [hutals] thats ok aone, you will join when you feel comfortable....took me a couple of month, but now they cant keep me quiet
00:04:19 [Hmmmmmm] thanks everyone
00:04:22 [AoneDr] thanks hutuals see u all here on saturday
00:04:39 [Step_1] bye
00:05:20 [Hmmmmmm] so viruses and immuno step1 on saturday?
00:05:59 [Hmmmmmm] hutals i have split the files i m now gunna upload em thanks for teh ida
00:06:01 [Hmmmmmm] idea
00:07:10 [AoneDr] one quick question before we end will there be another 7 week schedule
00:07:38 [Hmmmmmm] im plannign to make one after this one i hope we can try it
00:08:15 [AoneDr] that would be great thanks it will help people like me who missed the earlier weeks
00:08:47 [Hmmmmmm] thats the idea (im not good in physio so i missed last week)
00:08:56 [AoneDr] bye
00:09:02 [Hmmmmmm] bye
00:09:32 [AoneDr] ops i am sorry i didn't know u were writing some thing
00:09:46 [Hmmmmmm] np its ok
00:09:57 ash enters this room
00:10:06 [Hmmmmmm] hey ash ur back
00:10:17 [ash] yep!
00:10:30 [ash] i was checking if u are still here
00:11:39 [ash] see you on saturday.
00:12:02 [Hmmmmmm]
00:12:25 [hutals] i just checked back too, yes Aone, there will be another 7 week schedule after this one and it will keep repeating itself so that old members can always help new ones and we can go over the stuff over and over before exam
00:13:19 [AoneDr] great
21:05:03 [crusher] sure start firing Q,s plz
21:05:16 [AoneDr] i will be silent this time if its ok
21:05:30 [Hmmmmmm] ok i prepared this one (not in any chorno order)
21:05:55 [Step_1] ok, if you see a cell described as having an outer membrane, is this Gr + or -?
21:06:15 [Hmmmmmm] ok a patient comes to u with an very large open wound on his leg, the organism is gram +ve and catalase -ve whats the organism
21:06:24 [hutals] no problem Aone, jump in whenever you feel comfortable
21:06:26 [Hmmmmmm] gr -ve step 1
21:06:34 [crusher] gram -ve,,with the LPS
21:07:01 [hutals] clostidium perfingens
21:07:08 [crusher] clostridium perfirenges
21:07:12 [hutals] gram neg for step 1
21:07:14 ash enters this room
21:07:20 [Hmmmmmm] yeah hutals good one
21:07:22 [Step_1] hi ash
21:07:26 [ash] hi everyone!!
21:07:34 [Hmmmmmm] hi ash
21:07:35 [Step_1] clostridium perfrengens
21:07:50 [Hmmmmmm] yes step 1
21:08:07 [ash] hey step_1 i have your questions ,can i ask some of them?>
21:08:11 [Step_1] yes, gram - are the only ones with outer membrane, especially neisseria
21:08:14 [Hmmmmmm] more pili means more?
21:08:16 [AoneDr] hi ash
21:08:21 [Step_1] sure, go for it
21:08:30 [ash] hi
21:08:55 erum enters this room
21:09:04 [ash] what are the effects of exotoxin secreted by e.coli?
21:09:06 [hutals] pili are gram neg. virulence
21:09:17 [Step_1] hi erum
21:09:28 Lorena enters this room
21:09:30 [ash] hi erum
21:09:32 [Hmmmmmm] diarrhea? which ecoli?
21:09:40 [Hmmmmmm] hi erum and lorena
21:09:41 [ash] hi lorena
21:09:42 sicca enters this room
21:10:02 [Hmmmmmm] wow a lot of ppl 2day hi sicca
21:10:06 [Lorena] hi guys, step 1, hutals , crusher, and all
21:10:09 [ash] the mechanism of action of exotoxin of e.coli
21:10:19 [Lorena] i misssed you a lot
21:10:19 [Step_1] hi lorena
21:10:31 [erum] hi everyone
21:10:34 [ash] the kind of e.coli shouldnt matter
21:10:40 [crusher] hello lorena..i see u after long time
21:10:44 [Step_1] we all missed you to lorena. good to hear from you again
21:10:44 [Hmmmmmm] more pili means more virulence (my previous question)
21:11:00 [Lorena]
21:11:00 [Hmmmmmm] ash i think its adenyl cylase and increase cAMP
21:12:01 [erum] today is my first day
21:12:20 [Step_1] middle aged male presents with acute onset monoarticular join pain and bilat bells palsy. what disease and how did he get it?
21:12:27 [Lorena] some family stuff and i was sick but feeling better and ready to participate again
21:12:31 [Hmmmmmm] ok bacteria has a generation time of 10 min and lag = 10. how many will u see in 80 minutes if u have 10 in the beginning
21:12:33 [ash]>[Step_1] lymes
21:12:45 [hutals] welcome to the chat erum. jump in whenever you feel comfortable
21:13:01 [erum] thanks
21:13:18 [Step_1] hope everything is ok lorena
21:13:30 [Hmmmmmm] lyme dz and ixodes tick
21:13:32 [hutals] agree lyme dz from ticks
21:13:32 [Lorena] the disease is lyme and got it from a tick bite
21:13:52 [Lorena] thanks step, everything is fine again
21:14:21 [crusher] i think its lyme disease by borrelia bordegferri,bilateral fascial palsy if unilateral mcc is idiopathic
21:14:35 [Step_1] great job everyone, its lyme dz and ixodes tick
21:15:23 [crusher] hope u feeling good lorena and welcome back
21:15:29 [Step_1] excellent crusher. the buzz word was BI lateral vs UNI lateral....good point
21:15:31 [ash] which org. has heat sensitive catalase?
21:15:54 [Hmmmmmm] ohhh i thought it was 10 X 2^7
21:16:19 [Step_1] cat + would be Staph aureus and yersinia
21:16:28 [Hmmmmmm] staph aureus
21:16:30 [Lorena] staph aureus
21:17:00 [crusher] sataph auerus is both catalase and coaglase +ve
21:17:09 [Hmmmmmm] yersinia is coagulase +ve i think?
21:17:34 [ash] the catch is heat sensitive and the answer is m.tb
21:18:33 [Hmmmmmm] nice one ash
21:18:45 [crusher] all staph are catalase +ve not just staph aureus,,staph auerus piciluarity is its COAGULASE POSITIVE too
21:18:51 [ash] gram negative cocci without immunogenic capsule?
21:19:06 [Step_1] ah, i didnt even notice the heat sensitive part
21:19:22 [Lorena] N. gonorrhoeae
21:19:23 [ash]>[Step_1] thats ok
21:19:33 [Hmmmmmm] no iad
21:19:35 [Hmmmmmm] idea
21:19:42 [crusher] agree with lori
21:19:51 drkittu enters this room
21:20:08 [crusher] N.menigititidis has capsule
21:20:08 [Step_1] yeah, i messed up, i meant to say that staph aureus and yersernia are both COAG +....not both cat +...sorry, end of a very long day
21:20:34 [Lorena] no capsule no vaccine vs N. meningitidis (it has capsule so it has vaccine)
21:20:56 [ash] i am asking an org. with a capsule that is nonimmunogenic
21:21:15 [ash] and gram negative cocci
21:22:42 [hutals] not sure ash
21:22:49 [ash] the answer is moraxella
21:22:50 [Hmmmmmm] kliebsella
21:22:54 [Hmmmmmm] oh
21:22:54 [crusher] plz ans ash
21:23:08 [Lorena] i misunderstood, i thought you asked a bug without capsule
21:23:29 [Hmmmmmm] whats imp about morax? give me one clinical sig/
21:24:01 [Lorena] moraxella causes otitis media
21:24:08 [Lorena] no prob ash
21:24:09 [crusher] i think middle ear infection
21:24:23 [Hmmmmmm] in adults
21:24:33 [Hmmmmmm] yes crush and ash
21:25:00 [ash] this bacteria needs protoporphyrin for growth
21:25:08 [Step_1] cant remember the question right now, but that was a real one with moraxella as the ans. they described it in micro terms in a pt with otitis media i think
21:25:09 [Lorena] in chronic obstructive pulmonary diseases od the lung , it can cause bronchitis
21:25:23 [Hmmmmmm] DTaP what does the a stand for? (stupid q but why do we need this kind of vaccine?)
21:25:53 [hutals] diptheria, tetenus, pertussis
21:26:02 [Hmmmmmm] step 1 *how do u diagnose otitis media *pain in teh ear and swelling and redness?
21:26:10 [Lorena] agree with hutals
21:26:27 [Hmmmmmm] hutal what does the "a" stand for
21:26:33 [Hmmmmmm] a = acellular
21:26:37 [crusher] p.seudoonas is common cause of infection in bronchectasis especially in downs patient....>lorena
21:26:45 [Hmmmmmm] need for patients with CGD etc
21:26:53 [Step_1] i wish i could remember the question, but i'll post it if i remember or wrote it down somewhere
21:27:00 [Hmmmmmm] SCID also
21:27:15 [Lorena] i see crush
21:27:16 [hutals] What are the culture requirement for H. flu?
21:27:46 [Hmmmmmm] V and X
21:27:50 [Hmmmmmm] hematin and NAD
21:27:52 [ash] nad and protoporphyrin
21:28:00 [Lorena] hemin and NAD
21:28:02 [Hmmmmmm] or need staph aureus growing in blood agar
21:28:19 [ash] pikes madium is for ?
21:28:23 [crusher] heme and hematin and NAD
21:28:30 [Step_1] factor V and X
21:28:52 [Hmmmmmm] yeah ash
21:29:09 [hutals] culture on chocolate agar with factor V (NAD) and X (hematin).
21:29:21 [Step_1] mneumonic is [Think: 'Child has 'flu'; mom goes to five (V) and dime (X) store to buy chocolate.']
21:29:21 [Hmmmmmm] oh dam chocolate
21:29:52 Dr_Rolon enters this room
21:29:58 [ash] which bacteria needs cysteine and iron?
21:29:59 [Step_1] hi dr rolon
21:30:13 [ash]>[Step_1]
21:30:23 [crusher] legionella
21:30:28 [Dr_Rolon] hello, glad to finally join you guys,
21:30:47 [crusher] media is charcol yeast agar
21:30:55 [Lorena] i remember with one of step 1 neumonics about the 4 sisters "ellas"
21:31:02 [drkittu] Legionella
21:31:23 [Hmmmmmm] ok a surgeon was excising a lipoma from the back of the neck of an obese 50 yr old female and later *1 or 2 days she started having signs of endocarditis is there an organism involved if so what?
21:31:29 [Dr_Rolon] legionella
21:31:41 [Lorena] "the 4 sister 'ellas' worship at the cysteine chapel, except for bortadella b/c see got bored"..... by step 1
21:32:09 [Hmmmmmm] i have to mention (wasnt too sterile)
21:32:16 [Dr_Rolon] staph
21:32:26 [drkittu] Staph epidermiditis
21:32:26 [Lorena] s. epidermidis hmm???
21:32:38 [Step_1] good you remembered lorena....good job
21:32:43 [Dr_Rolon] epidermidis i think thats right
21:33:01 [Lorena] i have learnt a lot from you step 1
21:33:02 [Hmmmmmm] lemme check
21:33:12 [Step_1] dr rolon, you might want to pick a brighter color from the rainbow on right
21:33:30 [Dr_Rolon] i never thought this could be so much fun
21:33:38 [Hmmmmmm] its aureus
21:33:44 [Dr_Rolon] now?
21:33:49 [Hmmmmmm] (see caplan pg 21
21:34:23 [ash] kellys medium is for?
21:34:30 [Lorena] yes, now that i remember , s, epidermidis if the valves are previously damaged, s. aureus if the valves are normal (mostly IV drug users)
21:35:04 [crusher] yes i agree it should be staph aureus
21:35:21 [Hmmmmmm] im sorry ash but what was ur ans for pikes med?
21:35:27 [Step_1] dr. rolon, you still have black which is hard to read
21:35:47 [Dr_Rolon] im trying, my net is slow
21:35:55 [ash] streptococci
21:36:06 [Hmmmmmm] thanks
21:36:20 [hutals] rash on palms and soles (migrating to wrists, ankles, then trunck) 2) headache 3) fever....what dz?
21:36:21 [ash]
21:36:35 [Step_1] RMSF
21:36:38 [Hmmmmmm] rocky mountain spooted fever
21:36:40 [Hmmmmmm]
21:36:40 [Dr_Rolon] ,
21:37:03 [crusher] rocky mountain feevr..rash centrifugul
21:37:07 [ash] what about *****?
21:37:08 [Step_1] which by the way is least likely to be found in the Rocky Mountains
21:37:12 [Hmmmmmm] painfull ulcer in the penis?
21:37:17 [Hmmmmmm] dx?
21:37:25 [hutals] yep, rocky mountain spotted fever
21:37:44 [Step_1] Hemohilus ducreyi
21:37:58 [Hmmmmmm] yes step1 and lorena
21:38:06 [ash] if multiple then herpes
21:38:26 [Hmmmmmm] i thougth herpes is not ulcer but pustules?
21:38:28 [Step_1] mneumonic is "You do cry" sounds like "ducreyi"
21:38:31 [crusher] duceri make you cry..(painful)
21:38:50 [Step_1] herpes is not painful
21:38:52 [crusher] if painless then syphilis
21:38:55 [Lorena] and when it is not painful? dx?
21:39:00 [Hmmmmmm] do cry (compliements of step1 and acestep1 )
21:39:12 [ash] syphilis/TO Lorena
21:39:21 [Lorena] herpes is painful too
21:39:23 erum enters this room
21:39:25 [Dr_Rolon] chancre, sypohilis
21:40:02 [ash] hey what about kellys medium?
21:40:13 [Hmmmmmm] dunno ans plez
21:40:18 [Lorena] that color is much better Dr Rolon
21:40:38 [Dr_Rolon] no prob
21:40:47 [Dr_Rolon] rookie mistake
21:41:15 [hutals] What bacteria exhibits a 'tumbling' motility, is found in unpasteurized milk, and causes meningitis in newborns?
21:41:16 [Hmmmmmm] ok a patient with white plaques on either side of mouth(near the tonsils) and milk coming out of nose dx?
21:41:22 [Hmmmmmm] listeria
21:41:30 [Hmmmmmm] hutas listeria?
21:41:38 [Lorena] it is listeria monocytogenes
21:41:49 [Step_1] boriella for ***** i think
21:41:59 [Step_1] listeria for hutals question
21:42:11 [ash]>[Step_1] right
21:42:18 [hutals] yep, Listeria monocytogenes
21:42:21 [Dr_Rolon] listeria monocytes for meningitis?
21:42:35 [Hmmmmmm] yes drrolon
21:42:45 [Lorena] in newborns yes Dr Rolon
21:42:54 [Hmmmmmm] yeah ash goood
21:43:06 [Dr_Rolon] ok
21:43:27 [hutals] thanks for clearing that up lorena. wasn't sure why milk was coming out of someones nose
21:43:55 [Hmmmmmm] its a question i heard im not sure either
21:44:07 [ash] which bacteria is implicated in guillian barre syndrome?
21:44:35 [Lorena] reallY? i thought it was after a viral infection
21:44:42 [Hmmmmmm] me 2
21:44:49 [Step_1] Campylobacter jejuni
21:45:08 [crusher] i think step1 is right
21:45:15 [drkittu] capylobacter
21:45:24 [Hmmmmmm] good question
21:45:25 [ash] right,but only 1 bacteria is implicated.which?given in k a p l a n
21:45:51 [hutals] i agree C jejuni
21:46:25 [Lorena] GUll's wings= GUillain barre
21:46:57 [ash] microaerophilic organism that is a pathogen in the duodenum?
21:47:00 [Hmmmmmm] ok patient gets epigastric pain after eating food , very thin and has bloody stool? organism?
21:47:15 [crusher] h.pylori
21:47:29 [Hmmmmmm] very good
21:47:45 [Dr_Rolon] h. pylori for epigastric pain?
21:47:48 [erum] h.pylori
21:48:04 [drkittu] Helicobactor
21:48:21 [Lorena] agree helycobacter
21:48:23 [Hmmmmmm] dr rolon its becuae its gastric ulcer
21:48:40 [ash] which e.coli is a sorbitol nonfermentor?
21:48:46 [Dr_Rolon] ok
21:50:05 [drkittu] EHEC
21:50:19 [Hmmmmmm] ans please ash?
21:50:29 [crusher] which organism has small dense bodies and reticulate bodies and whats the drug for treatment
21:50:44 [drkittu] eNTEROHEMORRHAGIS e COLI
21:51:13 [ash] treatment is tetra?
21:51:15 [drkittu] sorry my caps lock was on i didn't notice
21:51:28 [Hmmmmmm] crusher> c. diaptheria?
21:51:45 [Lorena] corynebacterium
21:52:02 [Lorena] babes ernst bodies in loeffelr medium
21:52:32 [Hmmmmmm] lorena (does this also have volutin granules?) are they the same things
21:52:36 [crusher] yesw its chalmydia and treatment is erythromycin or tetracyclin..eleentry bodies enter the cells and reticulate bodies replicate in cells
21:53:22 [hutals] What bug is associated with burn wound infections?
21:53:29 [ash] what does the heat stable toxin of e.coli stimulate?
21:53:39 [Step_1] pseudomonas aurgenosa
21:53:40 [Lorena] pseudomona a.
21:53:56 [crusher] P.aueroginosa..HUTALS
21:53:58 [Step_1] guanylate cyclase
21:54:10 [Hmmmmmm] ok im confused crusher is ur ans chlamydia or diphteria?
21:54:48 [crusher] which org causes ATYPICAL PNEUMONIA,how do u see in X.rays
21:55:01 [Step_1] clamydia for crushers question and treat with erythromycin or tetracyclin
21:55:04 [Lorena] s toxin stimulates guanylate cyclase
21:55:19 [hutals] yep, Pseudomonas aeruginosa
21:55:26 [Lorena] thanks crusher and steo
21:55:39 [crusher] by CAMP and adeny;late cylase for E.COLi
21:55:56 [Step_1] mycoplasma pneumonia
21:55:57 [Hmmmmmm] ty step 1
21:56:44 [Lorena] atypical pneumonia can be caused by chlamydia
21:57:51 [crusher] insidious onset DRY COUGH(atypical Pneumonia)mycoplasma pnemonia.legionella,chlaydia and coxilela..diffuse interstial infiltrates in x.rayss.Tx is ERYTHROMYCIN
21:58:16 [Hmmmmmm] beatiful explanation crush
21:58:23 [Lorena] nice
21:58:41 [Step_1] good job crusher
21:58:43 [ash] what medium contains sterols,purines and pyrimidines and which organism needs it?
21:58:45 [hutals] What causes tetanus? (give bacteria and disease process)
21:59:13 [crusher] plz remeber the Tx..in exam sometimes they end in asking treatment
21:59:45 [ash] acts on ganglioside receptors
21:59:51 [erum] clostridium tetani
22:00:25 [Hmmmmmm] risus sardonicuz and ophisthotonus
22:00:28 [hutals] btw, i just learned that when you click on someones name before posting, it sends them the message only and no one else will see it
22:00:39 [crusher] clostidium tetanus..by toxin resulting in ascending paralysis,,toixin is neurospastic means destroy the nerves
22:00:42 [Dr_Rolon] risus sardonicuz?
22:00:51 [erum] causes spastic paralysis via gaba release blockade
22:01:02 [ash] to hutals are you sure?
22:01:02 [hutals] yep, Clostridium tetani: exotoxin produced blocks glycine release
22:01:06 [Lorena] thank you hutals i didnt know that
22:01:22 [ash] i have been sending such messages since when
22:01:23 [Hmmmmmm] swarming in medium? organisM?
22:01:40 [crusher] protus??
22:01:44 [Lorena] i have been doing that a lot lately
22:01:51 [Hmmmmmm] yes
22:01:56 [ash] proteus and clostridium perfringens
22:02:00 [Hmmmmmm]
22:02:14 [hutals] i'm pretty sure, coz i noticed it on the transcript that step 1 posted and some stuff was there and some wasn't whenever the persons name was highlighted
22:02:17 [Dr_Rolon] hmmmmmmmmmm what is risus sardonicuz?
22:02:34 [Hmmmmmm] grimace in tetany
22:02:36 [ash] p on blood agar and cl. on milk media
22:02:50 [Hmmmmmm] the facial muscles are contrated dr rolon
22:02:54 [hutals] i thought it was just a way to adress someone, but i was wrong
22:02:55 [Dr_Rolon] thx
22:03:03 [Dr_Rolon] w
22:03:12 [Step_1] i thought that too...thanks for pointing that out hutals
22:03:13 [ash] i thought so too
22:04:34 [Step_1] that explains why some people ask for answers after they've already been posted
22:04:41 [Hmmmmmm] what is weil felix?
22:04:51 [ash] this pathogen has fimbria that create a stacked brick like thick biofilm by attaching to eachother and enterocytes.what is it?\
22:05:37 [drkittu] Proteus
22:05:42 [Lorena] it is a diagnostic test for ricketsia ricketsi , where you use proteus or something like that
22:05:47 [Hmmmmmm] agree drkittu
22:06:02 [Step_1] weil felix test is positive in most rickettsia except for the unusual coxialla curnetti
22:06:26 [Step_1] oops, Burnetti
22:06:42 [crusher] greenish vaginal discharge with fishy smell,epithelkial cells covered with bacteria,,whats the organism n whats the treatment
22:06:45 [Hmmmmmm] i thougth it was reaction or rickettsia with proteus vulagris?
22:06:55 [drkittu] Gardinella
22:07:19 [drkittu] Metronidazole
22:07:19 [hutals] trich or gardinella, i always mix them up
22:07:23 [Lorena] yes hmm thats what it is
22:07:29 [ash] crusher trichomonas vaginalis
22:07:46 [Lorena] agree trichomonas
22:07:52 [drkittu] Tricho causes Frothy discharge
22:08:02 [Lorena] and metro for tx
22:08:05 [ash] but trichomonas is not bacteria
22:08:09 [crusher] its gardenilla vaginalis with CLUE CELLS,is the CLUE,,tx is metroniadazole
22:08:22 [ash] frothy and also greenish
22:08:32 [drkittu] Agree Ash'
22:08:44 [Lorena] true ash ....thanks
22:08:58 [hutals] thanks
22:09:21 [hutals] What causes the flu?
22:09:46 [hutals] oh, nevermind, thats a virus question which is for sat
22:09:47 [Hmmmmmm] influenza virus
22:09:56 [drkittu] Influenza virus
22:10:02 [ash] influenza a and b mostly
22:10:09 [hutals] the point is that its not H flu which is a bacteria
22:10:38 [Lorena] good point
22:10:43 [ash] i thought viruses was today
22:11:01 [ash] then what are the topics for today?
22:11:16 [crusher] how can u define intracellar obligates and faculative intracellular
22:11:19 [hutals] i thought viruses was sat
22:11:19 [Hmmmmmm] bacteriology?
22:11:53 [ash] hmmmmmmm thanks
22:12:01 [ash] when is immunology then?
22:12:04 drsnsathya enters this room
22:12:45 [Dr_Rolon] distinguishing feature of mycoplasma is???
22:13:05 [Hmmmmmm] ok here are my mneumonics for facultative anearobes
22:13:20 [Hmmmmmm] SLoBbY MiLF *sorry for the language
22:13:21 [crusher] intracellar organisms like (chlmaydia nad ricketsias ) lacks ATPs aand facultative intracelluar like(mycobacterium,brucella)surnive in both AEROBIC and ANEROBICS
22:13:22 [Lorena] no cell wall
22:13:47 [Step_1] good point, we forgot about immuno. i guess we should try to do as much micro as we can today, including viruses, so that we can cover immuno on sat (plus whatever we didnt cover in micro)
22:13:51 [Dr_Rolon] no cell wall, right
22:13:51 [ash] thanks crusher i didnt know that
22:14:11 [Hmmmmmm] Salmonella, Legionella, Listeria Brucella, Yersinia, Mycobacterium, Fransiclla
22:15:16 [Lorena] thanks hmmm
22:15:17 [Hmmmmmm] obligate anerobes ABC actinomyces, bacteriodes, clostridum
22:15:46 [ash] medusa head colony is shown by which bacteria?
22:16:27 [drkittu] Klebsiella
22:16:42 [crusher] what the mechanism of cHOLERA and PERTUSIS and vibreo cholera?
22:17:05 [Hmmmmmm] cholera turns on the on pertusis turns off the off
22:17:10 [Step_1] anthrax??
22:17:25 [drsnsathya] cholera increasae
22:17:29 [Hmmmmmm] step 1 is rite anthax
22:17:39 [ash] cholera toxin stimulates GS, adenyl cyclase and increases camp
22:17:44 [drsnsathya] i am sorry
22:17:45 [Step_1] cAMP
22:18:02 [ash] pertussis inhibits Gi and thus increases camp
22:18:08 [Lorena] agree with ash
22:18:10 [Step_1] hi drsnsathya
22:18:19 [ash] right step_1
22:18:26 [drkittu] Malignancy causing cholera like diarrhoea?????
22:18:33 [Dr_Rolon] common characteristic of fungi that cause systemic mycoses?
22:18:37 [drsnsathya] hello step 1
22:18:47 [ash] somatostatinoma?
22:18:48 [Hmmmmmm] IgA protease my mneumonic is HaNNS
22:18:51 [crusher] vibreo cholera toxin activates the Gs causing rice watery stool.pertusis disable the Gs and causes whopping cough .
22:18:59 [Lorena] they are dimorphic
22:19:10 [Step_1] srsnsathya, you might want to pick brighter color from the rainbow on the right
22:19:25 [Hmmmmmm] H. infllu, both Niesserhea, S. pneumona
22:19:32 [drsnsathya] 0.k
22:19:49 [ash] which fungus shows reverse dimorphic characteristic?
22:20:27 [ash] thanks
22:20:51 [drkittu] Candida
22:21:09 [ash] great drkittu!!!
22:21:15 [Step_1] thanks drsns, much better
22:21:18 [drsnsathya] cryptocoocus neoformans
22:21:37 [Hmmmmmm] Once there was a boy. He was very hungry so he reheated some rice. Soon he got bad diarrhea. What organism?
22:21:38 [drsnsathya] first time.
22:21:55 [Lorena] Bacillus cereus
22:21:56 [drsnsathya] bacillus cerrus
22:21:58 [ash] drsnsathya cryptococcus is monomorphic
22:22:06 [Hmmmmmm] good
22:22:11 [crusher] cereus.Bacillus
22:22:13 [ash] hmmmmmm bacillus cereus
22:22:19 [drkittu] Bacillus
22:22:20 [drsnsathya] is it
22:22:21 [Dr_Rolon] b cereus
22:22:23 [Hmmmmmm] all rite
22:22:56 [hutals] very soon, within a few hours. the only other food poisoning that is that quick is what?
22:22:58 [ash] pt. had food poisoning in 6 hours.cause?
22:23:15 [ash] staph.aureus
22:23:18 [drsnsathya] staphylocoocus
22:23:19 [Lorena] staph aureus
22:23:21 [crusher] is it not cstaph aureus
22:23:21 [drkittu] Staph aureus
22:23:28 [Hmmmmmm] good question ash
22:23:38 [Step_1] B cereus and Staph aureus have very quick onsets of < 4 hrs or something like that
22:24:00 [Hmmmmmm] 2 -6 step 1 calpan
22:24:14 [crusher] atypical pneumonia in bird breeders whats the org?
22:24:24 [Step_1] thanks, i knew it was something like that
22:24:34 [drsnsathya] histoplasma
22:24:40 [hutals] yep, staph is the other fast food poisoning
22:24:49 [ash] immunogenic component in n.meningitidis and in s.pyogenes capsule?
22:24:55 [drkittu] Psittacosi
22:24:58 [Dr_Rolon] histoplasma capsulatum?
22:24:58 [Lorena] cryptococcus n.
22:25:06 [ash] crusher histoplasma
22:25:14 [crusher] chlamidia ,Psitticosis
22:25:26 [ash] also pneumocystis carinii
22:25:40 [Lorena] histoplasma is in relation with bats
22:25:46 [ash] oh sorry i meant psittacosis
22:26:06 [Hmmmmmm] rice water diarrhea? organism?
22:26:19 [ash] hmmmmmmm cholera
22:26:22 [Lorena] v. cholerae
22:26:26 [hutals] histo is bat and bird feces, but they will usually say bats because birds can be more than one thing
22:26:27 [drkittu] Cholera
22:26:36 [crusher] v.cholera
22:26:37 [Dr_Rolon] e coli
22:26:44 [hutals] rice water is cholera
22:26:48 [drsnsathya] in which food poisoning pt will die tdue to respiratoy failure?
22:26:50 [Hmmmmmm] good drkittu and crush
22:26:52 [ash] fungus that mainly kills type 1 pneumocytes?
22:27:12 [Hmmmmmm] baby drinks honey and gets floppy? orgranism?
22:27:17 [ash] drsnsathya botulinum
22:27:25 [Lorena] cryptococcus can also be a cause in pigeon breeders, acute pulmonary usually asymptomatic
22:27:30 [Step_1] Botulism
22:27:31 [ash] hmmmmmm botulinum
22:27:36 [drsnsathya] your r right
22:27:38 [Lorena] c. botulinum
22:27:47 [crusher] bolilinium
22:27:53 [ash] good point lorena
22:28:22 [Dr_Rolon] what mecanism for botulisn?
22:28:29 [drkittu] Pneumocystis
22:28:36 [ash] fungus that kills mainly type 1 pneumocytes?
22:28:48 [Hmmmmmm] botulism is corrent
22:28:51 [Lorena] inhibits the realease of Ach
22:28:55 [drsnsathya] which is the most sensitive and specific test for syphillis
22:28:58 [ash] dr rolon by inhibiting ach release
22:29:06 [crusher] PCP??/ash
22:29:13 [ash] drsnsathya ftaabs
22:29:17 [crusher] FTS..
22:29:21 [Dr_Rolon] right
22:29:23 [ash] right crusher
22:29:31 [Step_1] FTS
22:29:44 [Dr_Rolon] ftb/abs for syphilis
22:29:53 [Hmmmmmm] VDRL is sensitive?
22:29:55 [Dr_Rolon] fts sorry
22:30:05 [drsnsathya] TPI is specific and fta is sensitive
22:30:06 [Hmmmmmm] ftb abs is specific
22:30:11 [ash] hmmmmmmm yes but not specific
22:30:22 [Hmmmmmm] doh
22:30:49 [hutals] What do RMSF, syphilis, and coxsackievirus A infection have in common?
22:30:58 [Hmmmmmm] thanks ash
22:31:05 [ash] cardiolipin antigen
22:31:18 [Step_1] rash on palms and soles
22:31:50 [ash] agree with step_1
22:32:02 [Lorena] good question hutals
22:32:26 [crusher] what family coxaia A virus belong??
22:32:34 [hutals] thnx lorena. yep, rash on palm and sole is seen in each (coxasackievirus A =hand, foot, and mouth disease)
22:32:37 [Hmmmmmm] what organism is involved with erythma marginatum, subcu. nodules, carditis, chorea and polyarthritis
22:33:09 [ash] strepto.pyogenes
22:33:20 [ash] rheumatic fever
22:33:21 [Lorena] strept grou A
22:33:21 [hutals] picorna
22:33:25 [Hmmmmmm] good ash
22:33:35 [Hmmmmmm] good lorena
22:33:36 [ash] what strain causes glomerulonephritis?
22:33:37 [drsnsathya] group a beta hemolytic strptococcus
22:33:48 [crusher] picorna virus which is a positive sense naked virus causes hand foot and mouth disesse
22:34:35 [Lorena] strep group A
22:34:42 [ash] corn meal agar is for ?
22:34:43 [Hmmmmmm] 6.5 NaCl?
22:35:17 [ash] hmmmmmm enterococcus
22:35:23 [drsnsathya] canidida
22:35:27 [crusher] enterococcus fecalis
22:35:37 [Lorena] s. group D or enterococcus
22:35:38 [Step_1] Picorna mneumonic is "PEE Co Rn A" Polio Entero, Echo, Cosackie, Rhino, hep A
22:35:42 [Hmmmmmm] rite again ash and crush
22:35:46 [ash] drsnsathya good
22:35:52 [Dr_Rolon] gotta go now, will be back saturday
22:36:02 [Hmmmmmm] dr rolon bye
22:36:08 [ash] bye goodnite
22:36:15 [Step_1] ok, see you sat dr rolon.
22:36:18 [Lorena] bye Dr Rolon see you on saturday
22:36:25 [hutals] bye rolon
22:36:25 [crusher] bile soluble??
22:36:28 [Hmmmmmm] thanks step 1 for teh neumonic
22:36:34 [drsnsathya] bye
22:36:45 [Step_1] no prob
22:36:48 [ash] guys what are we discussing on saturday?
22:37:05 [ash] crusher s.pneumoniae
22:37:18 [Step_1] i think it will need to be immunology and whatever we dont get thru tonight
22:37:20 [Lorena] how about virology and immnuno?
22:37:22 [Hmmmmmm] immuno and a bit of fungi and virus if please
22:37:26 [crusher] correct its pyogens
22:38:12 [ash] crusher it is s.pneumoniae!!
22:38:27 [Lorena] diff between nocardia and actinomyces
22:38:28 [drsnsathya] streptococcus pyogenes strain 2,49,37,59-61
22:38:54 [Lorena] agrre bile soluble is strept pneumoniae
22:39:14 [ash] lorena nocardia is partially acid fast that act.is not and actino. is anerobe that nocardia is not
22:39:28 [Step_1] nocardia is acid fast (partially), actinomyes has sulfur granules
22:39:39 [Lorena] very good ash!
22:39:46 [Step_1] and actino is anaerobic
22:40:01 [ash] step_1 both have sulfur granules
22:40:06 [Hmmmmmm] an african patient get treated for gastero enteritis and develops membranes in colon ? dx?
22:40:19 [Lorena] also actinomyces is an endogenous infection , nocradia is exogenous, tx for actino is penicillin and for nocardia is sulohas
22:40:19 [Hmmmmmm] no nocaria has no sulfu
22:40:23 [crusher] sulfonamide for nocardia and penicillin for actino..SNAo.Pneomonic
22:40:32 [Hmmmmmm] and treatment is SNAP
22:40:34 [ash] pseudomembranous colitis c.difficale
22:40:44 [Lorena] very good step and crusher too
22:40:48 [Hmmmmmm] nice ash
22:40:57 [crusher] pseudomenbranueos colitis
22:41:04 [Lorena] c. difficile, tx is metronidazole
22:41:14 [Step_1] ash, i thought that sulfur granules were onely actino, which sulfonamides are used for treatment of nocardia. but didnt think that sulfur granules were seen in nocardia??
22:41:19 [drsnsathya] treatment for p.colitis
22:41:25 [ash] hmmmmmmmm are you sure? i remember it from surgery
22:42:03 [drsnsathya] vancomycin
22:42:04 [crusher] metroniadazole
22:42:07 [Lorena] metronidazole
22:42:10 [Hmmmmmm] a child with fever has low platelet count and has neurologic and nephrologic symtoms what orgranis is implicated?
22:42:16 [Hmmmmmm] sorry ash im not sure
22:42:47 [crusher] ITP?
22:42:48 [Hmmmmmm] yes my 1st questions answer is pseudomembranous colitis and orgrnism is c.difficle
22:42:55 [Hmmmmmm] crusher is HUS
22:42:57 [ash] they are not pathognomonic of nocardia but can be seen in it i am pretty sure
22:43:21 [Hmmmmmm] and Ecole O157:H7? (cant remember the number)
22:43:30 [Lorena] E. coli EHEC
22:43:40 [Hmmmmmm] good lorena and crush
22:43:48 [ash] hmmmmmm this is right no.
22:43:55 [crusher] oh ok hmmmmmmmm thanks
22:44:05 [Hmmmmmm] thannk ash
22:44:11 [Hmmmmmm] np crush
22:44:21 [ash] you are always welcome
22:44:45 [crusher] very hy qs hmmm and ash thanks for asking
22:44:50 [Lorena] hemolytic uremic syndrome in kids > 5 years old
22:45:04 [crusher] e.coli
22:45:20 [drsnsathya] e coli?verocytotoxin
22:45:21 [ash] ok people i have to go now thanks for spending time with me today
22:45:26 [drkittu] EH ecoli
22:45:31 [ash] good night
22:45:38 [drkittu] Bye Ash
22:45:47 [drkittu] Good night
22:45:48 [crusher] thanks for coming ashh..and asking good q,s
22:45:53 [crusher] good night
22:45:57 [Lorena] thank you ash, you had great questions, see you on saturday
22:45:57 [Hmmmmmm] what antibiotics cause c. diffcile infection?
22:46:04 [Hmmmmmm] bye ash it was a pleasure
22:46:12 [ash] bye all.
22:46:18 [crusher] vancomycin?
22:46:24 [Hmmmmmm] see ya next week
22:46:32 [Hmmmmmm] crusher give me 4
22:46:33 [Lorena] clyndamicin mostly
22:46:52 [Hmmmmmm] cephalo sporins, clindamycin, amoxicillin, and ampicillin
22:46:59 [Lorena] broad spectrum antibiotics
22:47:11 [Hmmmmmm] the boards know everyone thinks clinda lorena
22:47:12 [Step_1] bye ash, thanks for the great questions
22:47:25 [crusher] yes broad spectrum..the drug causing dis is the Tx of dis
22:47:28 [drsnsathya] vancomycin cuses it clindamycin is for tretment.am i right?
22:47:53 [Hmmmmmm] yes drsnsathya
22:48:13 [drsnsathya] thankx lorena
22:49:11 [Step_1] no, vanco is one of the treatments for c diff when metro doesnt work. c diff is caused mostly by clindamycin, but others mentioned too
22:49:37 [drsnsathya] then i am right
22:49:40 [Lorena] exactly
22:49:50 [crusher] i always confused in it..thanks for clearification
22:50:29 Jugular enters this room
22:51:06 [Hmmmmmm] one sec ppl ill have more questions
22:51:27 [Step_1] it will be presented as a pt in the hospital for whatever (on antibiotics like clinda, ampi, etc) and develops diarrhea. treat with metro (vanco is last resort)
22:51:31 [crusher] we are here hmmm keep askin
22:51:37 [Hmmmmmm] which one is motile? shigella or salmonella
22:51:40 [Step_1] hi jugular
22:51:52 [drsnsathya] shigella
22:51:54 [Lorena] salmonella
22:51:56 [Jugular] hi
22:52:03 [drsnsathya] hi jugular
22:52:04 [crusher] is it salmonella??
22:52:07 [Jugular] Hi
22:52:15 [Hmmmmmm] yeah crusher
22:52:22 [Step_1] salmon swim (motile) up stream
22:52:23 [Jugular] Congrats Step 1 for doing so well!
22:52:36 [Hmmmmmm] my neumoic is (ShIgella, SIts)
22:52:56 [Step_1] thanks jug, couldnt have done it without everyones help
22:53:09 [drkittu] Falling leaf motility..... organism?
22:53:10 [Lorena] sshigella has NO flagella
22:53:39 [Jugular] Listeria?
22:53:42 [crusher] cool..so many pneomonics ..cool
22:53:48 [drsnsathya] oh i am wrong
22:53:50 [Lorena] campylobacter j?
22:53:53 [Step_1] giardia is falling leaf
22:54:08 [Jugular] ok
22:54:09 [drkittu] Giardia
22:54:09 [Hmmmmmm] what is falling leaf mot?
22:54:36 [Jugular] which one has tumbling motility?
22:54:47 [Hmmmmmm] listeria jug
22:54:48 [drsnsathya] proteus
22:55:00 [Lorena] listeria
22:55:01 [Step_1] hmmmm, under the microscope, it has a motility that looks like a failing leave (swaying side to side)....giardia
22:55:06 [drkittu] Listeria
22:55:07 [drsnsathya] it has swarming motility
22:55:10 [Step_1] listeria for tumbling
22:55:18 [Hmmmmmm] thanks stp1
22:55:34 [Step_1] no prob
22:55:56 [Step_1] swarming is proteus
22:56:07 [Hmmmmmm] yes
22:57:00 [crusher] thanks step1 for such good motility org providing
22:57:06 [Step_1] the other one is cork screw motility which is trichomonas
22:57:09 [Hmmmmmm] man comes to the office with damaged nasal cartilgae nad a -ve lerpmin test dx?
22:57:10 [Lorena] Naegler's reaction positive, what bug?
22:57:15 [Step_1] no prob crusher
22:57:17 [Hmmmmmm] thanks step1
22:57:35 [Hmmmmmm] lor is it listeria
22:57:40 [crusher] tuberculoid leprosy
22:58:00 [Lorena] thanks for the motility info step!
22:58:02 [Hmmmmmm] yes crusher but the lepromatus
22:58:17 [Jugular] EbV causes nasopharyngeal CA
22:58:23 [Lorena] it is C. perfringens
22:58:35 [Jugular] -ive lerpmin means?
22:58:46 [Hmmmmmm] oh thanks lorena
22:58:57 [drkittu] MOst common cause of neonatal meningitis?
22:59:06 [Hmmmmmm] jugular its a test for leprosy
22:59:08 [Lorena] you re welcome hmmmmmmm
22:59:14 [drsnsathya] h influenza
22:59:16 [Hmmmmmm] S. pyogenes
22:59:29 [Lorena] strept. pneumo
22:59:35 [crusher] group B strepcocuus
22:59:42 [Hmmmmmm] wat is mannitol salt +ve
22:59:44 [Step_1] Group B strep
22:59:46 [crusher] or strep agalactia
22:59:54 [Hmmmmmm] oops
22:59:55 [Jugular] so, for leprosy to be diagnosed as =ive, does the lerpmin test has to be be -ive?
22:59:57 [drkittu] Strep.agalactiae
23:00:03 [Hmmmmmm] ur rite crush
23:00:06 [Step_1] h influ is no longer a common cause because of vaccine
23:00:19 [Hmmmmmm] no jugular leprosy is 2 types
23:00:28 [Hmmmmmm] tuberculiod and lepromatous
23:00:30 [Lorena] second is E. coli and thrid is listeria m. ...am i right?
23:00:34 [drsnsathya] less than io year its common
23:00:55 [Step_1] yes lorena, very good
23:00:58 [drsnsathya] sorry 1 year
23:00:59 [Hmmmmmm] tuberculiod is less severe and lepromin is +ve
23:01:13 [Hmmmmmm] lepromatous is more severe and lepromin -ve
23:01:13 [Lorena] thanks step, i was not sure
23:01:25 [drkittu] Yes lorena agree
23:01:29 [Jugular] thanks
23:02:24 [Lorena] and in adults? causes of meningitis
23:02:28 [Step_1] but its no longer the most common cause drsnsathya....they wont likely catch it if mom and others dont have it anymore
23:03:06 [Hmmmmmm] adults is nmenigitidis and s. pneumo
23:03:15 [Step_1] in 1 mo to 18 yrs, the most common is N meningitis and in over 18 its strep pneumo
23:03:31 [Step_1] at least according to gol.jan
23:03:39 [crusher] agree with step1
23:03:40 [Lorena] excellent
23:04:21 [Hmmmmmm] 2 obligate intracellular?
23:04:40 [Jugular] ricketsia
23:04:44 [Jugular] and chlamydia
23:05:01 [Step_1] clamydia and rickettsia
23:05:03 [Lorena] agree
23:05:06 [crusher] chalmydia and ricketsia
23:05:22 [Hmmmmmm] good everyone
23:05:55 [drkittu] Hyalurinic acid and Sialic acid are non immunogenic.... Why?
23:06:07 [Hmmmmmm] wow im getting dizzy cant think of any questiosn
23:06:10 [crusher] cat and dog bites what the organism give its morphology
23:06:14 [Jugular] no protein
23:06:36 [Lorena] pasteurella multocida
23:06:40 [Step_1]>[drsnsathya] does that sound right. i'm only mentioning that because our professor drilled us about it. i agree that neonates arent vaccinated, but the incidence has gone down dramitically lately.
23:06:43 [Jugular] pasteurilla multocida
23:07:04 [Step_1] pasturella
23:07:09 [Hmmmmmm] what is ***** focus?
23:07:14 [Jugular] drkittu, is it 'coz they don't have protein in their structure?
23:07:15 [crusher] gram -ve coco baccilus pasterella multiocida
23:07:31 [Step_1] small gram - rods
23:08:01 [drkittu] They are intracellular components, they are not recognised as foreign by body.
23:08:11 [Jugular] my pnemonic for gram -ive coccobacillus is
23:08:27 [Jugular] Hae Bruce Pasture the Border
23:08:28 [drsnsathya] what i read was h .influenza till 1 year of age. i am not sue i will check it
23:08:59 [Step_1]>[drsnsathya] thanks drsnsathya, let us know
23:09:06 [Hmmmmmm] thanks jugular amazing monic
23:09:17 [Step_1] thanks jug
23:09:17 [crusher] give 2 organism name which are OXIDASe +ve
23:09:32 [Jugular] Which organism causes abortion in human?
23:09:38 [Step_1] vibrio
23:09:41 [Jugular] P Aeruginosa
23:09:45 [Lorena] ***** focus? what is it hmmmmmmmm?
23:09:47 [Hmmmmmm] pseudomons and yersina crush?
23:09:56 [Jugular] what's the 2nd one?
23:10:00 [Hmmmmmm] lorena its 2ndary tuberculosis
23:10:13 [Hmmmmmm] its lesion in the apex
23:10:29 [Lorena] campylobacter,neisseria , vibrio and pseudomona are oxidase +
23:10:52 [Lorena] thanks hmmmmm
23:10:55 [drkittu] All Neissria are positive
23:11:09 [crusher] good lorena
23:11:27 [Hmmmmmm] thanks lornera
23:11:39 [Step_1] abortion question ....is that listeria??
23:11:52 [Jugular] ya
23:11:56 [Lorena] organism that causes abortion: listeria, toxoplasma g.
23:12:02 [crusher] i think listeria causes abortion..agree vwith step1
23:12:22 [Jugular] Which organism causes abortion in cows?
23:12:58 [Hmmmmmm] notched tell and deafness? dx?
23:13:05 [Jugular] Toxoplasma causes abortion?
23:13:10 [Hmmmmmm] whoops not tell but "teeth"
23:13:36 [crusher] syphilus
23:13:52 [Hmmmmmm] ggood crusher
23:13:53 [Lorena] yes
23:14:31 [Step_1] syphillis
23:14:54 [Step_1] oops, i'm too late
23:15:04 [Hmmmmmm] good step
23:15:25 [crusher] you not late step1 ..u r ahead of all of us
23:15:30 [Jugular] Hey, Step 1, Are the Goljan HY 100 pg notes useful?
23:15:49 [Step_1] not at all, i learn something new everytime i join you all
23:15:56 [Hmmmmmm] hey step 1 u used WebPrep rite? did u use vidoe lectures?
23:16:08 [Hmmmmmm] whoops sorry
23:16:24 [Lorena] dont type c aplan
23:16:37 [Lorena] or go- l jan
23:16:39 [Step_1] i didnt have time to go thru all of the 100 pgs because i got them too late, but the parts i went through were pretty good. seemed like a summary of his lecture notes
23:16:47 [Jugular] step 1 , are the HY 100 pg notes useful?
23:17:00 [crusher] thats may be the secreyte of ur sucess never let go any chance of learning
23:17:18 [Jugular] r they really HY?
23:17:39 [Hmmmmmm] ok ppl i will put some biochem and other cards up for download 2day i found them in some school website very good flash cards
23:17:40 [Jugular] r they comparable with FA?
23:17:53 [Step_1] web prep is good, but not as a primary source because it just hits very high yield stuff. its good to do them using the regular kap lan lecture notes
23:18:09 [Hmmmmmm] ok thanks step
23:18:29 [Jugular] Thanks Crusher
23:18:35 [Lorena] thank s hmmmmm
23:18:52 [Jugular] I feel overwhelmed with The 100 pgs and FA as well
23:19:07 [crusher] thanks hmmm for concern
23:19:08 [Jugular] F A as well
23:19:14 [Step_1] jug, i think f.a. is another word we should type
23:19:23 [Hmmmmmm] np crush and lorena
23:19:36 [Jugular] did u do f.a. as well, Step 1?
23:20:13 [Step_1] f.a. is another high yield. remember that repetition is key to learning. must go over the stuff over and over, but its gets much easier the 2nd, 3rd, 4th time around
23:21:00 [drkittu] Got to go. Good Night everyone. See you next week
23:21:14 [Lorena] i will name some bugs and you will tell me the animals they are in association with ....ok?
23:21:15 [Step_1] yes, using the chat schedule, i would listen to web prep using kap lan notes, and also f.a., except for path where i used gol jan. and dont forget lots and lots of questions
23:21:17 [Jugular] I studied Physio and did a few questions from A&L and my score was around 50%!
23:21:24 [Hmmmmmm] was fun havign ur dr kittu
23:21:30 [Lorena] thanks Drkittu!! see you next chat
23:21:32 [Hmmmmmm] ty step 1
23:21:32 [Jugular] Where is my problem?
23:21:41 [drkittu] Thanks Hmmmmm
23:21:46 [drkittu] bye
23:21:48 [Hmmmmmm] jugular if u need some mcq programs ill give u some
23:21:51 [Hmmmmmm] have messenger?
23:21:56 [Hmmmmmm] ill send u some
23:22:02 [Step_1] thanks for chatting drkttu, see you on sat
23:22:16 [Hmmmmmm] that goes for u all too if u need any!
23:22:16 [Jugular] Thanks Hmmmm
23:22:21 [crusher] ok guys what about viruses
23:22:26 [Lorena] brucella.......
23:22:38 [Jugular] I have lots of mcq sources
23:22:46 [drsnsathya] I TO ONEED SOME MCQ PROGRAM
23:23:03 [Jugular] which ones are you offering Hmmmmmmm?
23:23:07 [crusher] i be back in a minute
23:23:13 [Hmmmmmm] ok crush
23:23:25 [Hmmmmmm] appleton and lange
23:23:31 [Step_1] yes, we have about 35 mins to cover whatever we can in micro, then we will leave the rest for sat with immuno
23:23:32 [Hmmmmmm] 2000 questiosn
23:23:35 [Hmmmmmm] u ppl need?
23:23:39 [Lorena] thats great thanks hmmm
23:24:14 [Hmmmmmm] sorry step1 if u ppl wait after chat then we'll share it (i think poor step1 is staying awake for our review)
23:24:15 [hutals] hmmm, maybe upload them to valuemd so we can all share them?
23:24:37 [drsnsathya] yes hutals is right.
23:24:38 [Hmmmmmm] sure hutals but its like 9 megs
23:25:05 [Step_1] dont worry about me, i just want to keep things running smoothly for you all
23:25:11 [Lorena] ok guys i better get going
23:25:13 [Hmmmmmm] dam i mean like 22 megs
23:25:27 [Hmmmmmm] bye lorena was a pleasure
23:25:28 [hutals] all in one file?
23:25:32 [Lorena] thank you step 1 for still participate in the chats, i will see you all on saturday
23:25:46 [drsnsathya] hi step 1 i am new to the chat.today is the first day.
23:25:57 [Step_1] lorena, it was great to have you hear with us again. see you sat
23:26:05 [Lorena] i wil check the transcript to see what was left , bye hutals, pleasure tio meet you hm and all
23:26:20 [Hmmmmmm] ok bye lorena
23:26:33 [Step_1] welcome drsnsathya, you're doing great. you have great questions and answers
23:26:51 [hutals] good nite lorena. see ya next time
23:26:51 [drsnsathya] bye lorena. good to discuss with you
23:27:37 [Step_1] maybe we should leave viruses and immuno for next time since virology is pretty long anyway.
23:27:37 [Hmmmmmm] ok give me B-hemolytic bateria
23:27:47 [Jugular] Step 1, after QBank which one is the best source of questions?
23:27:51 [Hmmmmmm] yes please step1 im kinda week in viruses
23:28:19 [Hmmmmmm] btw can i add 7 megs in attachment in a post?
23:29:18 [hutals] i dont know, you can also talk to the admin to see if they can help (assuming its not copyrights or anything)
23:29:26 [drsnsathya] oh come on1 actually i have read once from Kaplan notes but had 2 months break coz i went to india for somme personal stuff. i have just starated the prep. next week i am going to start Kaplan live 1 prep class. can you give your e mail id.step 1
23:30:12 [Step_1] remember that we cant type stuff like kap lan, q.bank, first aid, f.a., amaxon, gol.jan, etc
23:30:15 [drsnsathya] oh i am sorry
23:30:31 [Step_1] or we will get those links....good for the forum, but bad for the chats
23:31:29 [Jugular] Step 1, next to K Bank which one is the next best Q Source?
23:31:39 [Hmmmmmm] B-hemolytic other than strep pyogenes adn strep. agalacatie are stap aureus, listeria and clostridum perfringens
23:32:27 [Step_1] i think it is online q.bank is best because it covers both the format (timining, etc) and learning (detailed answers). after that i think b.s.s. is pretty good. the nbme test is also good (45 bucks) because it tells you where you stand, but no answers provided. tommys concepts are also good.
23:32:49 [Hmmmmmm] jugular i also this webpath is priceless
23:33:42 [Jugular] webpath doesn't explain the answers!
23:34:24 [Hmmmmmm] yes it does jug
23:34:33 [Hmmmmmm] a small explanation
23:34:34 [Jugular] really?
23:34:37 [Step_1] yes, webpath is a good question source for path. also gol.jan has some good remembered questions to read. there are so many sources, just try not to overextend. the most important is q.bank. i actually did that twice instead of using another source (but i did some others as well)
23:34:53 [Jugular] I did the renal section of Physio test files
23:35:02 [Jugular] and there were no explanations!
23:35:36 [Hmmmmmm] ok i have a integrative question
23:35:58 [hutals] tommy has a great free source for those strapped for cash
23:36:12 [Hmmmmmm] african american patient was treated for malaria and got anemia dx?
23:36:29 [Jugular] sickle cell anemia
23:36:41 [hutals] also take a look at the recalls from last yr by trinity, melissa and others....priceless
23:36:44 [drsnsathya] sickle cell anemia
23:36:57 [Jugular] or is it drug reaction?
23:37:19 [Jugular] G6PD deficiency?
23:37:19 [Hmmmmmm] ill wait for step 1's reply too since the server is slo
23:37:53 [drsnsathya]>[Step_1] i am taking live prep course from next week . i am gonna miss this chat for 2 months.
23:38:06 [Step_1] drug rxn
23:38:15 [Step_1] sorry computer acting funny
23:38:18 [Hmmmmmm] G6PD
23:38:34 [Hmmmmmm] remember chloroquine ?
23:39:05 [Jugular] G6PD deficient pts react by having hemolysis when they take certain drugs like antimalarial drugs or fava beans
23:39:14 [Hmmmmmm] yes jugular
23:39:26 [Step_1]>[drsnsathya] thats excellent. the live preps are the best. i think everyone would do them if they had the money, time, and center close by. let us know how it goes
23:39:36 [Hmmmmmm] sorry its not fair since patho is next week but a very tricky integrative question
23:39:45 [Jugular] Iam sleepy, I gotta go
23:39:53 [drsnsathya] BCG vaccine give protection for what are the diseases
23:39:57 [Hmmmmmm] bye jugular its been a pleasure
23:40:01 [Jugular] this is integrated mainly with Biochem
23:40:09 [Step_1] good chatting with you jug
23:40:16 [Jugular] TB
23:40:20 [Jugular] ya
23:40:23 [Jugular] ame here
23:40:26 [hutals] see ya in next chat jugular. good nite
23:40:41 [Jugular] Thanks Step 1 for giving us so much support
23:40:43 [drsnsathya]>[Step_1] . i am gonna take the exam in dec. sure i will be in touch with this forum
23:40:44 [Hmmmmmm] ans please sathya?
23:40:57 [Jugular] nd thanks to the rest for participating
23:41:23 [drsnsathya]>[Step_1] this is a reall good source to revise
23:41:27 [Jugular] the aswer is tuberculosis
23:41:32 [Step_1]>[drsnsathya] i'm studying for step 2 now, but i'll still be around to help out as much as i can. try to stop by when you can
23:41:49 [Jugular] full form of BCG is Bacillus Calmette and Guerin
23:41:58 [Hmmmmmm] thanks jug
23:42:03 [drsnsathya] its tuberculosis,leprosy and leukemia
23:42:16 [Hmmmmmm] wow uploadign takes a long time
23:42:17 [Step_1] the thanks goes to you jugular. you've brought some great questions and answers
23:42:23 [Hmmmmmm] its still upload the program
23:42:48 [Step_1] 22 MB is pretty big....takes longer to upload than download
23:43:05 [Jugular] Take care
23:43:07 [Jugular] bye
23:43:08 [Hmmmmmm] hey step1 in teh last micro chat u said something bout difference between cat scratch and cat bite? what is it?
23:43:26 [Hmmmmmm] step 1 i zipped is to the best compression is now 6.93 megs
23:43:47 [Step_1] cat scratch is pasturella and cat scratch is bartonella henslae
23:44:15 [Hmmmmmm] can u describe bartonella to me? i cant find it here?
23:44:42 [hutals] not sure it will take that many mb in one file. i think the max is 3 mb unless the admin overrides it for you, but not sure??
23:46:25 [Hmmmmmm] lotsa questions though around 20000
23:46:30 [Step_1] Rochalimaea henselae si the old name and now called Bartonella henselae
23:46:32 [Hmmmmmm] sorry 2000
23:47:18 [drsnsathya] are you guys gonna download it in valuemd
23:47:23 [hutals]
23:48:34 [Hmmmmmm] thanks step 1
23:49:30 [drsnsathya]>[Step_1] .i too need those 2000 questions
23:50:21 [Hmmmmmm] ok anymore questions?
23:50:32 [Hmmmmmm] lobar pneumonia? orgranisM?
23:50:46 [Step_1] hmmmmm, they will probably present it in a case where a young girl was playing with her cat and then throw in a bunch of distracting stuff, but you will notice on physical that the pt has lympadenopathy, cellulitis, lymph node involvement or something like that.
23:50:49 [Hmmmmmm] 2 organism of subacute endocarditis?
23:51:01 [drsnsathya] k.pneuomoniae
23:51:22 [drsnsathya] hemolytic streptocooci
23:51:32 [Step_1] strep pmneumo
23:52:31 [Hmmmmmm] good step1 and santhya
23:53:04 [Hmmmmmm] thansk step1 for the explanation
23:53:20 [drsnsathya] bread crumb colony -which organism?
23:54:16 [Step_1] Subacute bacterial endocarditis (SBE) is usually caused by streptococcal species (especially viridans streptococci), and less often by staphylococci.
23:54:27 [Hmmmmmm] good step1
23:55:17 [Hmmmmmm] oh man the upload got cancelled max upload is 5mb
23:55:18 [Hmmmmmm] :<
23:55:36 [Hmmmmmm] ill upload tonite promise
23:56:35 [Hmmmmmm] yes sathya
23:56:55 [drsnsathya] oh thank you.
23:56:58 [hutals] let the admin know and they will probably find a solution for you. maybe you can break it up into two files?
23:57:15 [Hmmmmmm] what is the cause of damaged valves leading to subacute endocarditis
23:57:56 [Hmmmmmm] good point hutal
23:58:53 [Step_1] damaged heart valves and endocarditis in elderly can be enterococcus faecalis
23:59:16 [Step_1] the real question had that description, but asked for drug of choice?
23:59:31 [Hmmmmmm] what is the cuase of damaged heart valves?
23:59:36 [Hmmmmmm] penecilln?
23:59:56 [drsnsathya] o.k guys good night. i am leaving.
00:00:05 [Hmmmmmm] amoxi, ampi?
00:00:59 [Hmmmmmm] bye drsnsathya great having u here
00:01:14 [Step_1] i dont have an answer, but i think that it would need to be combo of peniciliin and aminoglycoside because resistant to either one alone, but known to work together. just a guess
00:01:25 [Step_1] ok, i think we're out of time
00:01:43 [drsnsathya] o.k hmmmm bye. good luck
00:02:12 [Step_1] good night to all. i guess we'll do virology and immunology on sat
00:02:13 [drsnsathya]>[Step_1] bye
00:02:34 [AoneDr] thanks a lot guys the chat was very informative to me even though i was just going thro the msgs
00:02:37 [Step_1] thanks everyone for the great chat. bye
00:02:52 [hutals] good nite everyone
00:03:03 [Hmmmmmm] ok step1 thanks for all ur help
00:03:10 [Hmmmmmm] good nite hutals
00:03:38 [hutals] thats ok aone, you will join when you feel comfortable....took me a couple of month, but now they cant keep me quiet
00:04:19 [Hmmmmmm] thanks everyone
00:04:22 [AoneDr] thanks hutuals see u all here on saturday
00:04:39 [Step_1] bye
00:05:20 [Hmmmmmm] so viruses and immuno step1 on saturday?
00:05:59 [Hmmmmmm] hutals i have split the files i m now gunna upload em thanks for teh ida
00:06:01 [Hmmmmmm] idea
00:07:10 [AoneDr] one quick question before we end will there be another 7 week schedule
00:07:38 [Hmmmmmm] im plannign to make one after this one i hope we can try it
00:08:15 [AoneDr] that would be great thanks it will help people like me who missed the earlier weeks
00:08:47 [Hmmmmmm] thats the idea (im not good in physio so i missed last week)
00:08:56 [AoneDr] bye
00:09:02 [Hmmmmmm] bye
00:09:32 [AoneDr] ops i am sorry i didn't know u were writing some thing
00:09:46 [Hmmmmmm] np its ok
00:09:57 ash enters this room
00:10:06 [Hmmmmmm] hey ash ur back
00:10:17 [ash] yep!
00:10:30 [ash] i was checking if u are still here
00:11:39 [ash] see you on saturday.
00:12:02 [Hmmmmmm]
00:12:25 [hutals] i just checked back too, yes Aone, there will be another 7 week schedule after this one and it will keep repeating itself so that old members can always help new ones and we can go over the stuff over and over before exam
00:13:19 [AoneDr] great